Wydra, Kelly Jean

Wydra, Kelly Jean is an sole proprietor health care provider with primary practice located at 4923 Main St , Downers Grove IL 60515-3654. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wydra, Kelly Jean can be contacted via phone (815) 651-1983.

Contact Information

Primary practice address
4923 Main St Downers Grove IL 60515-3654
Phone: (815) 651-1983
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.007933 Illinois

Profile Details

NPI number 1447794763
LBN Legal business name Wydra, Kelly Jean
Credentials L.C.P.C., C.A.D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2016
Last updated Dec 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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