Mr Carl Giovanni Wiley, is a
Psychologist - Counseling based in Champaign, Illinois. Mr Carl Giovanni Wiley is licensed to practice in * (Not Available) (license number ) and his current practice location is
1801 Fox Dr, Champaign, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 359-5276.
NPI number for Mr Carl Giovanni Wiley is 1285961664 and his current mailing address is 1709 W Nelson St, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285961664.
Healthcare Provider's Profile
| Full Name | Mr Carl Giovanni Wiley |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Counseling |
|---|
| Location | 1801 Fox Dr, Champaign, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285961664
- Provider Enumeration Date: 11/05/2009
- Last Update Date: 11/05/2009
Medical Identifiers
Medical identifiers for Mr Carl Giovanni Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285961664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Carl Giovanni Wiley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Carl Giovanni Wiley,
1709 W Nelson St,
Chicago, IL 60657-3028
Ph: (773) 988-7462 | Mr Carl Giovanni Wiley,
1801 Fox Dr,
Champaign, IL 61820-7236
Ph: (217) 359-5276 |
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