Individual
EMILY WOLODIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1645 W JACKSON BLVD STE 603, CHICAGO, IL 60612-2643
(312) 563-9013
Mailing address
1645 W JACKSON BLVD STE 302, CHICAGO, IL 60612-3227
(312) 563-9013
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.010148
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071-010148
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.010148
STATE OF ILLINOIS LICENSE
IL
Enumeration date
11/13/2019
Last updated
06/07/2023
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