Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Prairie Clinic

Organization Clinical Child & Adolescent Psychologist · NPI 1184863847

The Prairie Clinic is a Clinical Child & Adolescent Psychologist in Geneva, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

1541 E Fabyan Pkwy Ste 101
Geneva, IL 60134-4105
Phone: (630) 845-9644
Fax: (630) 845-9678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 071006627 (IL)

Record details

NPI number1184863847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Wahlberg — Office Manager · (630) 845-9644
NPI enumeratedFebruary 19, 2009
Last updated in NPPESFebruary 19, 2009
Mailing address1541 E Fabyan Pkwy, Suite 101, Geneva, IL 60134-4105

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