Individual
TAMARA WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1854 N WENTWORTH CIRCLE, ROMEOVILLE, IL 60446
(224) 394-4923
Mailing address
1854 N WENTWORTH CIR, ROMEOVILLE, IL 60446-5074
(224) 394-4923
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842317875
—
IL
Enumeration date
11/07/2025
Last updated
11/25/2025
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