Provider Demographics
NPI:1831459601
Name:WILSON-BINOTTI, JENNIFER (PSYD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:WILSON-BINOTTI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 N MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4623
Mailing Address - Country:US
Mailing Address - Phone:847-436-8511
Mailing Address - Fax:847-873-0206
Practice Address - Street 1:1146 N MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4623
Practice Address - Country:US
Practice Address - Phone:847-436-8511
Practice Address - Fax:847-873-0206
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist