| NPI | 1922481589 |
|---|---|
| Doing Business As | LYDIA R WIEDE PHD |
| Entity Type | Organization |
| Authorized Contact | LYDIA R WIEDE Owner 630-247-5478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009004) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |