Individual
MS. REBECCA LEVATER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
5035 S EAST END AVE APT 1602N, CHICAGO, IL 60615-0112
(770) 743-8471
Mailing address
5035 S EAST END AVE APT 1602N, CHICAGO, IL 60615-0112
(770) 743-8471
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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