| Doctor Name: | DR. LARRY S. WEXLER |
| NPI Number: | 1013030980 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 1550 Spring Rd Ste. 215 Oak Brook, IL - 605231320 |
| Business Phone Number: | 6308331104 |
| Business Fax Number: | |
| Mailing Address: | 8438 Harding Ave, SKOKIE |
| State: | IL |
| Postal Code: | 600762715 |
| Phone Number: | 8479426612 |
| Fax Number: | 8476756684 |
| NPI Enumeration Date: | 04/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |