Individual
DR. JAMES E. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E 75TH ST, SUITE 110, NAPERVILLE, IL 60565-1469
(877) 873-7546
(877) 893-7546
Mailing address
101 E 75TH ST, SUITE 110, NAPERVILLE, IL 60565-1469
(877) 873-7546
(877) 893-7546
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036078688
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036078688
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078688
—
IL
Enumeration date
05/01/2006
Last updated
01/28/2009
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