Individual
CARLIE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2830 S HIGHLAND AVE, LOMBARD, IL 60148-7135
(630) 932-2099
(630) 932-9815
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010746
IL
363A00000X
Physician Assistant
8312-23
WI
Other
Enumeration date
10/14/2024
Last updated
05/11/2026
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