Individual
MRS. JUSTINE N. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
3329 75TH ST STE 200, WOODRIDGE, IL 60517-2700
(630) 964-9400
(630) 964-9375
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-6715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023531
IL
363LF0000X
Family Nurse Practitioner
209023531
IL
363LF0000X
Family Nurse Practitioner
Primary
F06210382
IL
Other
Enumeration date
06/07/2021
Last updated
05/11/2026
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