Wilder, Chaunte

Wilder, Chaunte is an sole proprietor health care provider with primary practice located at 3317 W 95Th St , Evergreen Park IL 60805-2243. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wilder, Chaunte can be contacted via phone (708) 529-3011.

Contact Information

Primary practice address
3317 W 95Th St Evergreen Park IL 60805-2243
Phone: (708) 529-3011
Fax: (708) 529-3207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178014767 Illinois

Profile Details

NPI number 1063078947
LBN Legal business name Wilder, Chaunte
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2019
Last updated Jun 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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