| Amy J. Wilder, Lcsw, Inc. | |
|
2025 S Arlington Heights Rd Arlington Heights IL 60005-4152 | |
| (847) 545-0400 | |
| (847) 545-0405 |
| Full Name | Amy J. Wilder, Lcsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2025 S Arlington Heights Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Amy Wilder (OWNER) |
| Authorized Official Contact | 8475450400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J. Wilder, Lcsw, Inc. 2025 S Arlington Heights Rd Arlington Heights IL 60005-4152 Ph: (847) 545-0400 | Amy J. Wilder, Lcsw, Inc. 2025 S Arlington Heights Rd Arlington Heights IL 60005-4152 Ph: (847) 545-0400 |
| NPI Number | 1013101955 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 09/04/2007 |
| Medicare PECOS PAC ID | 1951333764 |
|---|---|
| Medicare Enrollment ID | O20050901000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013101955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy J Wilder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225081557 PECOS PAC ID: 9032141841 Enrollment ID: I20050902000010 |
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