Jane B Wicklund PHD

NPI 1609994557 - Psychologist - 103TC0700X

NPI Details
NPI 1609994557
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
30 N MICHIGAN AVE
STE 514
CHICAGO IL, 60602-3402, US
Phone (312) 845-1003
Fax (847) 492-8061
Business Location
30 N MICHIGAN AVE
STE 514
CHICAGO IL, 60602-3402, US
Phone (312) 845-1003
Fax (847) 492-8067
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 0712387
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According to our database, Dr. Jane B Wicklund PHD NPI is 1609994557, taxonomy code is 103TC0700X and license number is 0712387, license state is located at Illinois. Jane B Wicklund PHD physically located at 30 N Michigan Ave, Chicago IL, 60602-3402. NPI Number Jane B Wicklund PHD has the Individual type.

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1609994557 NPI number is provided on an as is basis without warranty of any kind. 1609994557 is maintained by the National Plan & Provider Enumeration System. The contents of Jane B Wicklund PHD are for informational purposes only.