Individual
CECILIA ANNE WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
109 W 27TH ST, SUITE 5S, NEW YORK, NY 10001-6208
(888) 815-3583
(888) 815-3583
Mailing address
15164 EYRE CIR, PLAINFIELD, IL 60544-2433
(630) 589-9375
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.019027
IL
Other
Enumeration date
03/19/2019
Last updated
05/08/2025
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