Tracy Wilks
Tracy Wilks is a Developmental Therapist in St Charles, Illinois. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1021 S 12th AveSt Charles, IL 60174-4415
Phone: (630) 587-1522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1912405366 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2018 |
| Last updated in NPPES | January 30, 2018 |
| Mailing address | 1021 S 12th Ave, St Charles, IL 60174-4415 |
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