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MYA WILDER
NPI 1093658171
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 13, 2026
1747 W ROOSEVELT RD, CHICAGO, IL 60608(312) 355-1203 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mya Wilder NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYA WILDER (NPI 1093658171) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1093658171
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameMYA WILDER
Location Address1747 W ROOSEVELT RDChicago, IL 60608-1264
Mailing Address2522 W Lawrence Ave Unit 257665Chicago, IL 60625-8880
Phone(312) 355-1203
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1093658171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1747 W ROOSEVELT RD, Chicago, IL 60608
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIKA LUZ GUSTAFSON PHD
Psychologist
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 996-2200
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
General Acute Care Hospital
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 996-7723
DR. DANA RUSCH PH.D.
Psychologist (Clinical Child & Adolescent)
1747 W ROOSEVELT RD, INSTITUTE FOR JUVENILE RESEARCH, COLBETH CLINIC
CHICAGO, IL 60608
Cook County (312) 996-7723
JULIA WENZLAFF LCSW
Social Worker (Clinical)
1747 W ROOSEVELT RD, 155 IJR
CHICAGO, IL 60608
Cook County (312) 996-8083
MAANASA BANDLA
Psychiatry & Neurology (Psychiatry)
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 996-9593
DR. NIRANJAN KARNIK M.D., PH.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 273-0185
JENNIFER SUOR PH.D.
Psychologist (Clinical)
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 355-3871
MARREA A. WINNEGA PH.D.
Psychologist (Clinical)
1747 W ROOSEVELT RD, ROOM 155, M/C 747
CHICAGO, IL 60608
Cook County (312) 996-0357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mya Wilder's NPI number?

The NPI number for Mya Wilder is 1093658171. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Mya Wilder located?

Mya Wilder practices at 1747 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 355-1203.

What is Mya Wilder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mya Wilder was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.