ELLEN WILDMAN
NPI 1679972863
Massage Therapist in Chicago, IL

Q: What is Ellen Wildman's NPI number?

The NPI number for Ellen Wildman is 1679972863. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Q: What is Ellen Wildman's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Wildman was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 14, 2014

5239 N CLARK ST, 2ND FLOOR, CHICAGO, IL 60640(773) 334-7440 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellen Wildman NPPES

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

ELLEN WILDMAN (NPI 1679972863) is an individual massage therapist in Chicago, Illinois, licensed in Illinois (227.000470) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1679972863

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameELLEN WILDMAN

Location Address5239 N CLARK ST, 2ND FLOORChicago, IL 60640-2122

Mailing Address5239 N Clark St, 2nd FloorChicago, IL 60640-2122 · (773) 334-7440

Phone(773) 334-7440

Sole ProprietorNo

Enumeration DateAugust 14, 2014

✔ NPI 1679972863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in IL · 227.000470

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

5239 N CLARK ST, Chicago, IL 60640

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Other Providers at the Same Location NPPES

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

MR. DARIO GUTIERREZ HERREN M.A.

Counselor (Mental Health)

5239 N CLARK ST
CHICAGO, IL 60640

Cook County (773) 910-8808

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 Ellen Wildman's NPI number?

The NPI number for Ellen Wildman is 1679972863. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Ellen Wildman located?

Ellen Wildman practices at 5239 N Clark St 2nd Floor, Chicago, IL 60640. The listed phone number is (773) 334-7440.

What is Ellen Wildman's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ellen Wildman was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.