Wilmette P S D 39

Specialty details in registry · Wilmette, IL

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At a glance

615 Locust Rd, Wilmette, IL 60091-2237

NPPES record updated May 16, 2008. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

615 Locust Rd
Wilmette, IL 60091-2237
Professional details: NPI, taxonomy & registry record
NPI1790816635
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251300000X
Enumeration date
Mar 9, 2007
Record updated
May 16, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

615 Locust Rd
Wilmette, IL 60091-2237
Phone
(847) 256-2450
Fax
(847) 256-2959
Mailing address
615 LOCUST RD

WILMETTE, IL 600912237
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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