Individual
RICHARD MAX WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
310 DURAN DR, SHELBYVILLE, IN 46176-1986
(317) 421-0244
(317) 421-0245
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003667A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112015
ANTHEM ID
IN
05
—
200146190
—
IN
Enumeration date
04/04/2006
Last updated
08/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us