Individual
DR. ROBERT F WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
693 SAINT CHARLES RD, GLEN ELLYN, IL 60137-3619
(630) 469-5439
Mailing address
27W281 GENEVA RD STE I, WINFIELD, IL 60190-2085
(630) 690-0650
(630) 690-0713
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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