Individual
MARIA LOURDES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3550 N LAKE SHORE DR APT 315, CHICAGO, IL 60657-1902
(773) 807-3385
Mailing address
3550 N LAKE SHORE DR APT 315, CHICAGO, IL 60657-1902
(773) 807-3385
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041439466
IL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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