KELLY JEAN WYDRA

DOWNERS GROVE, IL
NPI1447794763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: IL  180.007933)
Enumeration Date2016-12-05
Last Update Date2016-12-05
Business Address
Mrs. KELLY JEAN WYDRA L.C.P.C., C.A.D.C.
4923 MAIN ST
DOWNERS GROVE, IL 60515-3654
Phone number: 815-651-1983
Mailing Address
Mrs. KELLY JEAN WYDRA L.C.P.C., C.A.D.C.
1223 RHODES LN
NAPERVILLE, IL 60540-0341
Phone number: 815-651-1983