What is Avia Wideman's NPI number?

Avia Wideman's National Provider Identifier (NPI) is 1558227488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Avia Wideman's specialty?

Avia Wideman is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Avia Wideman located?

Avia Wideman's practice location on file with NPPES is 850 Brook Forest Ave, Shorewood, IL 60404-8513.

What is Avia Wideman's phone number?

The practice phone number listed in the NPPES registry for Avia Wideman is (779) 235-4639.

Is Avia Wideman's NPI active?

Yes — Avia Wideman's NPI (1558227488) is active in the NPPES registry as of the last update on 2026-01-19.

IndividualActive

Avia Wideman

NPI 1558227488 · Behavior Analyst · Shorewood, IL

Avia Wideman is a Behavior Analyst provider in Shorewood, IL (NPI 1558227488).

Provider details

NPI number: 1558227488
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 152.003279 (IL)

Specialties & taxonomies

Behavior AnalystPrimary103K00000XLicense 152.003279 (IL)
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

850 Brook Forest Ave

Shorewood, IL 60404-8513

Phone: (779) 235-4639

Street-level locationGet directions

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Mailing address