Individual
HEATHER LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E. HURON ST., GALTER 11-140, CHICAGO, IL 60611
(312) 926-1711
Mailing address
901 W MADISON ST UNIT 901, CHICAGO, IL 60607-3373
(630) 707-8406
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.019141
IL
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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