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Individual

DR. CAROLYN I WERNEKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
409 ILLINOIS AVE, SUITE 1-A, ST CHARLES, IL 60174-2966
(630) 421-7260
(630) 513-0919
Mailing address
601 CHESAPEAKE RD, ST CHARLES, IL 60175-5632
(630) 421-7260
(630) 513-0919

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
IL
103TS0200X
School Psychologist
Primary
1395103
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04523149
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/01/2006
Last updated
09/11/2025
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