MS. CHAUNTE WILDER (NPI# 1063078947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063078947 |
| Entity Type | Individual |
| Full Name | MS. CHAUNTE WILDER |
| Practice Address |
3317 W 95th St Evergreen Park IL 60805-2243 |
| Mailing Address |
1133 W 95th St Chicago IL 60643-1405 |
| Practice Telephone | 7085293011 |
| Practice Fax Number | 7085293207 |
| Mailing Telephone | 7737795432 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178014767 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3317 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528164076 | Keith L Schaible | Neurological Surgery | 3317 W 95th St, Suite 100, Evergreen Park, IL 60805-2243 | 2006-09-15 |
| 1689280570 | Molly M Ward | Social Worker | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2020-09-16 |
| 1538707559 | Anne Marie Novotny | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2019-12-20 |
| 1629532486 | Courtney Holden | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2019-01-25 |
| 1841738424 | Lauren Breit | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2017-02-03 |
| 1295273852 | Michelle Marie Keller | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2017-02-03 |
| 1104363043 | Victoria Louise Mcandrew | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2017-01-30 |
| 1801242979 | Tricia Sochacki | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2016-05-09 |
| 1619322872 | Tasha Coleman | Counselor | 3317 W 95th St, Suite #101, Evergreen Park, IL 60805-2243 | 2016-04-25 |
| 1730540410 | Loren Williams | Counselor | 3317 W 95th St, 202, Evergreen Park, IL 60805-2243 | 2016-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588016166 | Margaret Knapp | Counselor | 9616 S Maplewood Ave, Evergreen Park, IL 60805-2712 | 2016-07-07 |
| 1801244413 | Joseph H Campbell IIi | Counselor | 9721 S Albany Ave, Unit 2, Evergreen Park, IL 60805-3120 | 2016-05-25 |
| 1669847430 | John William Hallinan | Counselor | 9807 S Albany Ave, Evergreen Park, IL 60805-3122 | 2015-12-04 |
| 1437589660 | Carla Carter | Counselor | 9416 S Harding Ave, Evergreen Park, IL 60805-1919 | 2013-11-25 |
| 1003155672 | Aditra Allison Albright | Counselor | 9201 S Clifton Park Ave, Evergreen Park, IL 60805-1508 | 2013-02-02 |
| 1992091342 | Leon John Dibiasio | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2011-06-23 |
| 1245459106 | Ana Lilia Javier-etapa | Counselor | 3317 W 95th St Ste 205, Evergreen Park, IL 60805-2243 | 2007-04-25 |
| 1245842814 | Michael Anderson | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2020-08-17 |
| 1538707559 | Anne Marie Novotny | Counselor | 3317 W 95th St, Evergreen Park, IL 60805-2243 | 2019-12-20 |
| 1558902023 | Olivia Brooks | Counselor | 3317 W 95th St Ste 101, Evergreen Park, IL 60805-2243 | 2019-10-04 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
Please comment or provide details below to improve the information on MS. CHAUNTE WILDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.