Healthcare Provider Details

I. General information

NPI: 1265342000
Provider Name (Legal Business Name): NANCYE E WERTZ M.ED, ED.S, NASP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 TOMCAT LN
AURORA IL
60505-5006
US

IV. Provider business mailing address

PO BOX 403
GENEVA IL
60134-0403
US

V. Phone/Fax

Practice location:
  • Phone: 630-299-2440
  • Fax:
Mailing address:
  • Phone: 630-217-5499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number286844
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: