ANNE WILDMAN (NPI# 1700303450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700303450 |
| Entity Type | Individual |
| Full Name | ANNE WILDMAN |
| Credential | LCSW |
| Practice Address |
8641 W 75th St Justice IL 60458 |
| Mailing Address |
8641 W 75th St Justice IL 60458-1114 |
| Practice Telephone | 7084968716 |
| Mailing Telephone | 7084968722 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149020267 | IL | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
2322108 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7801 W 75th St, Bridgeview, IL 604551288 | (708) 496-8722 | |
| 900 Skokie Blvd Ste 116, Northbrook, IL 600624014 | 7738028792 |
| Street Address |
8641 W 75TH ST |
| City | JUSTICE |
| State | IL |
| Zip Code | 60458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750944591 | Melissa Maturo | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2019-04-17 |
| 1235605692 | Patrice Leann Mahoney | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2018-10-23 |
| 1417474081 | Jamie Zimmer | Speech-Language Pathologist | 8641 W 75th St, Justice, IL 60458-1114 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932450558 | Caring Hands Health Care Agency | Nurse's Aide | 8761 W. 85th Street, Apt 205 Bldg 17, Justice, IL 60458 | 2012-09-21 |
| 1700902681 | Moira Josephine O'connell | Physical Therapy Assistant | 9050 W.81st Street, Justice, IL 60458 | 2007-03-22 |
| 1497889687 | Indian Springs Sch Dist 109 | Clinic/Center | 7540 South 86th Ave, Justice, IL 60458 | 2007-03-16 |
| 1467429233 | Willow Springs Surgery Center, Ltd | Clinic/Center | 9050 W. 81st Street, Justice, IL 60458 | 2006-03-01 |
| 1366552408 | Gregory Paul Schubert | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2006-08-30 |
| 1063682714 | Gregory P Schubert Dds Ltd | Dentist | 7756 Archer Rd, Justice, IL 60458-1146 | 2008-03-10 |
| 1265770176 | Ellen Muhammad | Dietitian, Registered | 7120 S 86th Ct, Justice, IL 60458-1152 | 2013-01-28 |
| 1427399229 | Nutrition and Beyond LLC | Nutritionist | 7120 S 86th Ct, Justice, IL 60458-1152 | 2013-03-05 |
| 1205349743 | Katy Rose Mccullough | Psychologist | 7540 S 86th Ave, Justice, IL 60458-1168 | 2017-11-07 |
| 1306304209 | Renee M Gezik | Behavior Technician | 506 Sterling St E, Justice, IL 60458-1231 | 2019-03-09 |
| Find all providers in zip 60458 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059818 | Amy D Ruckman | Social Worker | 407 S Edwards St, Altamont, IL 62411-1799 | 2020-09-29 |
| 1568080612 | Jordan Coleman | Social Worker | 1421 Marshall Ave, Mattoon, IL 61938-5341 | 2020-07-06 |
| 1164063632 | John Naret | Social Worker | 9130 S 52nd Ave, Oak Lawn, IL 60453-1799 | 2019-10-04 |
| 1306496393 | Marie Nagle | Social Worker | 6316 157th St, Oak Forest, IL 60452-2710 | 2019-09-12 |
| 1639641376 | Brandon Christensen | Social Worker | 110 Collins St, Joliet, IL 60432-2942 | 2018-12-19 |
| 1558847335 | Inner Balance Wellness | Social Worker | 303 E Army Trail Rd Ste 207, Bloomingdale, IL 60108-2143 | 2018-07-16 |
| 1538675244 | Mary Elizabeth Hall | Social Worker | 411 Stave Mill Rd, Murphysboro, IL 62966-4888 | 2017-12-18 |
| 1184133084 | Andrea Lynn Geis | Social Worker | 50 Blackwood Dr, Murphysboro, IL 62966-2937 | 2017-09-22 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1528587318 | Jaclyn Hood | Social Worker | 3945 Wehrman, Schiller Park, IL 60176 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
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| 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.