Individual
DR. ERIC JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
719 MAIN ST, EVANSTON, IL 60202-1701
(847) 492-8414
Mailing address
2247 W LELAND AVE, CHICAGO, IL 60625-2005
(773) 334-1217
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
IL
Other
Enumeration date
08/24/2007
Last updated
01/30/2008
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