Gerald Anthony Wyman, MSW

Clinical Social Worker · Waukegan, IL

Individual Active NPI

NPI number 1720352198

Practice location

3010 Grand Ave
Waukegan, IL 60085-2321
Phone
(847) 377-8296
Fax
(847) 984-5689

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NPI record

NPI
1720352198
Entity type
Individual (Type 1)
Enumeration date
March 2, 2012
Last updated
March 2, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.007271 IL

Mailing address

4511 W Swallowtail Dr
Waukegan, IL 60085-8602
Phone
(847) 662-2499

About Gerald Wyman

Gerald Anthony Wyman, MSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 3010 Grand Ave, Waukegan, IL 60085-2321. The NPI number 1720352198 was assigned on March 2, 2012 and the record was last updated on March 2, 2012.

Gerald Wyman lists a license in the registry: #149.007271 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gerald Anthony Wyman, MSW?

The NPI number is 1720352198.

What is the phone number of Gerald Wyman?

The phone number listed for the practice location is (847) 377-8296.

Where is Gerald Wyman located?

3010 Grand Ave, Waukegan, IL 60085-2321.

What is the taxonomy code for Gerald Wyman?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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