Provider Demographics
NPI:1467774513
Name:SHOGER, WILHELMINA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILHELMINA
Middle Name:M
Last Name:SHOGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 MIDWEST RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1359
Mailing Address - Country:US
Mailing Address - Phone:630-981-4185
Mailing Address - Fax:
Practice Address - Street 1:2021 MIDWEST RD STE 300
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1359
Practice Address - Country:US
Practice Address - Phone:630-981-4185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007841103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical