| Wanderlust Therapy Chicago, Llc | |
|
644 S Cuyler Ave Oak Park IL 60304-1504 | |
| (773) 742-0614 | |
| Not Available |
| Full Name | Wanderlust Therapy Chicago, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 644 S Cuyler Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Alexandra Backis (OWNER) |
| Authorized Official Contact | 7737420614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanderlust Therapy Chicago, Llc 644 S Cuyler Ave Oak Park IL 60304-1504 Ph: () - | Wanderlust Therapy Chicago, Llc 644 S Cuyler Ave Oak Park IL 60304-1504 Ph: (773) 742-0614 |
| NPI Number | 1518713155 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518713155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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