Mr Jordan Kent Wiles, SSP, NCSP | |
807 N Mattis Ave, Champaign, IL 61821-2448 | |
(618) 919-0408 | |
(618) 919-0408 |
Full Name | Mr Jordan Kent Wiles |
---|---|
Gender | Male |
Speciality | Psychologist - School |
Location | 807 N Mattis Ave, Champaign, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770095119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TS0200X | Psychologist - School | (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Mr Jordan Kent Wiles, SSP, NCSP 807 N Mattis Ave, Champaign, IL 61821-2448 Ph: (618) 919-0408 | Mr Jordan Kent Wiles, SSP, NCSP 807 N Mattis Ave, Champaign, IL 61821-2448 Ph: (618) 919-0408 |
Rachael D Rubin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-255-9580 Fax: 217-255-9650 | |
Kathryn Leskis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 N Neil St Ste 210, Champaign, IL 61820 Phone: 217-244-4597 | |
Andrea R Klein, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Psychology, Champaign, IL 61822 Phone: 217-365-6206 Fax: 217-326-1234 | |
Holly N Mirell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Psychiatry/psychology, Champaign, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650 | |
Dr. Michael A Campion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2110 Clearlake Blvd Ste 202, Champaign, IL 61822 Phone: 217-356-9922 Fax: 217-356-9875 | |
Dr. Dynesha Dione Mason-grissom, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2500 Galen Dr Ste 104, Champaign, IL 61821 Phone: 217-693-6072 | |
Dr. John P Baker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855 |