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Organization

JAMES E. WILSON MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES EDWARD WILSON M.D. (PRESIDENT, JAMES E. WILSON, M.D. S.)
(312) 922-7575
Entity
Organization

Contact information

Practice address
122 SOUTH MICHIGAN AVE., SUITE 1300, CHICAGO, IL 60603
(312) 922-7575
Mailing address
122 SOUTH MICHIGAN AVE., SUITE 1300, CHICAGO, IL 60603
(312) 922-7575

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
03/10/2010
Last updated
03/10/2010
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