Individual
DR. KEVIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9521 S WESTERN AVE, CHICAGO, IL 60643-1013
(773) 344-9120
Mailing address
1931 S CLARK ST UNIT C, CHICAGO, IL 60616-1984
(202) 486-3697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.025427
OH
1223G0001X
General Practice Dentistry
Primary
019032065
IL
Other
Enumeration date
05/11/2018
Last updated
10/22/2025
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