Individual
MS. STEPHANIE J. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
641 W 63RD ST, CHICAGO, IL 60621-2032
(773) 580-5190
Mailing address
3736 W 78TH ST, CHICAGO, IL 60652-1826
(773) 580-5190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.391640
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ01480900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277002629
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
328406
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
377002534
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404928
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71016307A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APTP.N3.70119065
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
TEMP328406
AZ
Other
Enumeration date
02/01/2017
Last updated
04/09/2026
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