Organization
WILEY FAMILY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARETTA WILEY FNP-BC, PMHNP-BC (OWNER)
(708) 664-8888
Entity
Organization
Contact information
Practice address
20650 S CICERO AVE UNIT 493, MATTESON, IL 60443-3419
(708) 664-8888
Mailing address
21224 GRAY HAWK DR, MATTESON, IL 60443-3314
(708) 664-8888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
10/30/2025
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