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Taylor Wisowaty
Mental Health Counselor in Chicago, Illinois
NPI 1871252676

Taylor Wisowaty is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Taylor Wisowaty practices in Chicago, IL. The NPI Number for Taylor Wisowaty is 1871252676 and holds a License No. 178017514 (Illinois).

The current practice location address for Taylor Wisowaty is 3660 N Lake Shore Dr Ste 201, Chicago, IL and can be reached out via phone at 773-759-5126.

Location: 3660 N Lake Shore Dr Ste 201, Chicago, IL, 60613-5302
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Provider Profile Details
NPI Number
1871252676
Provider Name
Taylor Wisowaty
Credential
Provider Entity Type
Individual
Gender
Male
Address
3660 N Lake Shore Dr Ste 201, Chicago, IL, 60613-5302
Phone Number
773-759-5126
Fax Number
Provider Enumeration Date
12/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3660 N Lake Shore Dr Ste 201
City
State
Zip
60613-5302
Phone Number
773-759-5126
Fax Number
person
Provider Business Mailing Address Details
Address
3660 N Lake Shore Dr Ste 201
City
State
Zip
60613-5302
Phone Number
773-759-5126
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178017514 (Illinois)
Definition
Definition to come...
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