Individual
DR. TJ LAMAR WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W CARPENTER ST # A, SPRINGFIELD, IL 62702-4901
(217) 545-8000
(217) 545-5459
Mailing address
315 W CARPENTER ST # A, SPRINGFIELD, IL 62702-4901
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
125087018
IL
Other
Enumeration date
04/11/2022
Last updated
07/01/2025
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