Individual
MS. DOLORES JOSEPHINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
211 S WALNUT ST, ARTHUR, IL 61911-1269
(217) 543-3444
(217) 543-3751
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 868-2812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021427
IL
Other
Enumeration date
11/20/2020
Last updated
11/05/2024
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