Individual
DR. MARQUESS TARRILL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 260-8734
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036126907
IL
Other
Enumeration date
09/08/2008
Last updated
09/01/2015
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