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Ms. Edith Wirtz
Mental Health Counselor in St Charles, Illinois
NPI 1023488640

Edith Wirtz is a Mental Health Counselor based in Lake In The Hills, IL and is specialized in Mental Health. Edith Wirtz practices in St Charles, IL. The NPI Number for Edith Wirtz is 1023488640 and holds a License No. 178008236 (Illinois).

The current practice location address for Edith Wirtz is 111 E Main St, St Charles, IL and can be reached out via phone at 630-587-3777. You can also correspond with Edith Wirtz through the mailing address at 113 PHEASANT TRL, LAKE IN THE HILLS, IL - 60156-1240 (mailing address contact number: 847-732-4591).

Location: 111 E Main St, St Charles, IL, 60156-1240
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Provider Profile Details
NPI Number
1023488640
Provider Name
Edith Wirtz
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 E Main St, St Charles, IL, 60156-1240
Phone Number
630-587-3777
Fax Number
Provider Enumeration Date
09/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
721576970 01 IL TAXPAYER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
111 E Main St
City
State
Zip
60174-1948
Phone Number
630-587-3777
Fax Number
person
Provider Business Mailing Address Details
Address
111 E Main St
City
State
Zip
60174-1948
Phone Number
630-587-3777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178008236 (Illinois)
Definition
Definition to come...
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