Wilder Theory Pllc

NPI #1144092289 in Joliet, Illinois

Provider Information

NPI Number: 1144092289
Entity Type: Organization
Organization Name: Wilder Theory Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 3505 GREENMEADOW LN
City: Joliet
State: Illinois
ZIP Code: 60431-4807
Phone: (779) 707-0597

Authorized Official

Name: THEODORE WILDER
Title: LCPC/DIRECTOR
Phone: (779) 707-0597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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