Individual
SHANIKA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4749 WOLVERTON LN APT D, ROCKFORD, IL 61109-5549
(815) 987-7620
Mailing address
1519 13TH ST, ROCKFORD, IL 61104-5424
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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