ELLEN WILDMAN NPI 1679972863

NPI Information

  • NPI: 1679972863
  • Provider Name: ELLEN WILDMAN
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 5239 N CLARK ST
    2ND FLOOR
    CHICAGO, IL
    ZIP 60640
  • Phone: (773) 334-7440

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NPI Details

Ellen Wildman is a massage therapist in Chicago, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Ellen Wildman NPI is 1679972863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5239 N CLARK ST
2ND FLOOR
CHICAGO, IL
ZIP 60640-122
Phone: (773) 334-7440

The enumeration date for this NPI number is 8/14/2014 and was last updated on 8/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist227.000470ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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