Individual
JUDITH WILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E ONTARIO ST, SUITE 305B, CHICAGO, IL 60611-4804
(312) 664-1771
Mailing address
333 E ONTARIO ST, SUITE 305B, CHICAGO, IL 60611-4804
(312) 664-1771
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
11/13/2006
Last updated
07/10/2007
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