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

Martha Jean Fridge Wilson, LBS1, ELEMENTAR, ESL

Individual provider Developmental Therapist · NPI 1720804032

Martha Jean Fridge Wilson, LBS1, ELEMENTAR, ESL is a Developmental Therapist in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

642 E 49th St Apt 2
Chicago, IL 60615-1554
Phone: (312) 834-4809
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1720804032
Entity typeIndividual (Type 1)
GenderFemale
Credentials LBS1 , ELEMENTAR , ESL
Sole proprietorNo
NPI enumeratedDecember 2, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

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