Individual
MR. HOSIE SHANDELL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2171 SPAULDING AVE, DIXMOOR, IL 60426-1019
(630) 240-0249
Mailing address
18738 SHERMAN ST, LANSING, IL 60438-3526
(708) 682-7787
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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