JACLYN ABBY WYNN NPI 1831831411

NPI Information

  • NPI: 1831831411
  • Provider Name: JACLYN ABBY WYNN
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 2400 RAVINE WAY STE 600
    GLENVIEW, IL
    ZIP 60025
  • Phone: (847) 730-3042

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NPI Details

Jaclyn Abby Wynn is a counselor in Glenview, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jaclyn Abby Wynn NPI is 1831831411. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 RAVINE WAY STE 600
GLENVIEW, IL
ZIP 60025-615
Phone: (847) 730-3042

The enumeration date for this NPI number is 4/12/2022 and was last updated on 4/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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