Wyman, Gerald Anthony

Wyman, Gerald Anthony is an individual health care provider with primary practice located at 3010 Grand Ave , Waukegan IL 60085-2321. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wyman, Gerald Anthony can be contacted via phone (847) 377-8296.

Contact Information

Primary practice address
3010 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8296
Fax: (847) 984-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.007271 Illinois

Profile Details

NPI number 1720352198
LBN Legal business name Wyman, Gerald Anthony
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Mar 2nd, 2012 - about 14 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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