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Organization

DR JAMES E WILSON SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES EDWARD WILSON MD (PRESIDENT)
(877) 873-7546
Entity
Organization

Contact information

Practice address
101 EAST 75TH STREET, SUITE 110, NAPERVILLE, IL 60565-1469
(887) 873-7546
(877) 893-7546
Mailing address
PO BOX 378, ORLAND PARK, IL 60462-0378
(773) 433-3838
(708) 301-0600

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
036078688
IL
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
05/05/2006
Last updated
01/23/2009
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