Wingspan Therapy, PLLC
Counselor, Professional in Downers Grove, IL. Organization (NPI-2).
NPI number1457039596
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1457039596
- Entity type
- Organization (NPI-2)
- Legal business name
- Wingspan Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
5117b Main St Ste 12Downers Grove, IL 60515-4602
Phone 630-320-6981 · Fax 312-748-4245
Mailing address
155 N Hudson StWestmont, IL 60559-1625
Phone 630-320-6981
Other practice locations
155 N Hudson St
Westmont, IL 60559-1625
Westmont, IL 60559-1625
Phone 630-320-6981
Authorized official
Meredith Entler
Owner
6303206981
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