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Individual

MICHELLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 LEE ST, DES PLAINES, IL 60016-6532
(877) 486-4140
Mailing address
5559 N MAJOR AVE, CHICAGO, IL 60630-1203

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
0
IL

Other

Enumeration date
02/09/2024
Last updated
02/12/2024
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