Tracy Wilks

Developmental Therapist · St Charles, IL

Individual Active NPI

NPI number 1912405366

Practice location

1021 S 12TH Ave
St Charles, IL 60174-4415
Phone
(630) 587-1522

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NPI record

NPI
1912405366
Entity type
Individual (Type 1)
Enumeration date
January 30, 2018
Last updated
January 30, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Tracy Wilks

Tracy Wilks is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 1021 S 12TH Ave, St Charles, IL 60174-4415. The NPI number 1912405366 was assigned on January 30, 2018 and the record was last updated on January 30, 2018.

Frequently asked questions

What is the NPI number of Tracy Wilks?

The NPI number is 1912405366.

What is the phone number of Tracy Wilks?

The phone number listed for the practice location is (630) 587-1522.

Where is Tracy Wilks located?

1021 S 12TH Ave, St Charles, IL 60174-4415.

What is the taxonomy code for Tracy Wilks?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

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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