Individual
LAURA A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
545 PLAINFIELD RD STE C, WILLOWBROOK, IL 60527-7606
(630) 654-2229
Mailing address
545 PLAINFIELD RD STE C, WILLOWBROOK, IL 60527-7606
(630) 654-2229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016407
IL
Other
Enumeration date
09/01/2017
Last updated
05/13/2025
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