Healthcare Provider Details

I. General information

NPI: 1235090952
Provider Name (Legal Business Name): WUEST INSTITUTE FOR PERSONALIZED PSYCHIATRY & MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 N BELMONT AVE
RICHMOND VA
23221-2804
US

IV. Provider business mailing address

804 AMBRIANCE DR
BURR RIDGE IL
60527-0808
US

V. Phone/Fax

Practice location:
  • Phone: 630-920-3886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA WUEST
Title or Position: FOUNDER/PSYCHIATRIST
Credential: DO
Phone: 630-920-3886