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Individual

EMILY ELIZABETH WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2030 N SEMINARY AVE, WOODSTOCK, IL 60098-2626
(815) 679-4604
Mailing address
2030 N SEMINARY AVE, WOODSTOCK, IL 60098-2626

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
390200000X
Student in an Organized Health Care Education/Training Program
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363542328
IL
Enumeration date
10/16/2017
Last updated
08/12/2025
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