MARK WICHMAN
NPI 1285785998
Counselor - Mental Health in Pontiac, IL

Active since January 16, 2007
417 W WATER ST, PONTIAC, IL 61764(815) 867-7509 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Wichman NPPES

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

MARK WICHMAN (NPI 1285785998) is an individual mental health provider in Pontiac, Illinois, licensed in Illinois (180-005327) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1285785998
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK WICHMAN
Location Address417 W WATER STPontiac, IL 61764-1750
Mailing AddressPo Box 351Pontiac, IL 61764-0351
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateApril 24, 2012
NPI 1285785998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180-005327
417 W WATER ST, Pontiac, IL 61764

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
417 W WATER ST
PONTIAC, IL 61764

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 Mark Wichman's NPI number?

The NPI number for Mark Wichman is 1285785998. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Mark Wichman located?

Mark Wichman practices at 417 W Water St, Pontiac, IL 61764. The listed phone number is (815) 867-7509.

What is Mark Wichman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mark Wichman was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.