MEDICARE: BRITTANY WILSON LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180.017893	IL

General Provider Information

NPI Number	:	1821786120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY WILSON LPC

Provider Business Mailing Address
First Line	:	2035 S. STATE ST. PO BOX 16015
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N WABASH AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1903
Country	:	US
Telephone Number	:	888-825-8680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	02/13/2026

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