Individual
ALAN M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6434 W NORTH AVE, CHICAGO, IL 60707-4030
(773) 836-3000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.057492
IL
207RN0300X
Nephrology Physician
G44366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G443660
—
CA
Enumeration date
11/01/2006
Last updated
01/02/2025
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