Pamela J Wishecoby, PBT
NPI #1669020459 in Montgomery, Illinois
Provider Information
- NPI Number
- 1669020459
- Entity Type
- Individual
- Name
- Pamela J Wishecoby, PBT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- PBT
- Enumeration Date
- Aug 27, 2019
- Last Updated
- Aug 27, 2019
Practice Location
- Address
- 41 CAYMAN DR
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-2703
- Phone
- (708) 778-0080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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Organizations
| Provider Name | |
|---|---|
| Health Maintenance Insititue of Illinois, Inc. |
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