Individual
DR. DAVID WILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 W 177TH ST, SUITE 1A, HAZEL CREST, IL 60429-2184
(708) 799-1100
(708) 799-8343
Mailing address
3330 W 177TH ST, SUITE 1A, HAZEL CREST, IL 60429-2184
(708) 799-1100
(708) 799-8343
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036070423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079441
—
IL
Enumeration date
08/01/2006
Last updated
07/08/2007
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