Individual provider · Type 1 NPI

Michael C. Wilson

Developmental Therapist · Chicago, IL

NPI number 1467641399 Active

Practice location

820 E 38th Pl Unit 1
Chicago, IL 60653-1969

Call (773) 373-0938 Map

Mailing address

PO Box 16204
Chicago, IL 60616-0204

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XMW21240499P (IL)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1467641399

Michael C. Wilson's National Provider Identifier is 1467641399, issued on Oct 16, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 16, 2007.