Most Relevant Information
Provider Data
| NPI Number: | 1003331398 |
| Provider Name: | MARY ELIZABETH WURSTER |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 1811325 |
Most Important Dates
| Enumeration Date: | 08/07/2017 |
| Last Updated: | 08/07/2017 |
Provider Practice Location
801 W NORMANTOWN RD
ROMEOVILLE
IL
604464330
Practice Location Phone/Fax
| Phone: | 8158862700 |
| Fax: |
Provider Mailing Location
801 W NORMANTOWN RD
ROMEOVILLE
IL
604464330
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |