Individual
JILL CARLTON WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 CROSSROADS DR, STE 100, OWINGS MILLS, MD 21117-5441
(410) 356-8186
(410) 356-4180
Mailing address
7799 LEESBURG PIKE, SUITE 1000 N, FALLS CHURCH, VA 22043-2408
(703) 667-8600
(703) 667-8601
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0055102
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2849
B/C B/S
DC
05
—
536500700
—
MD
01
—
J062
B/C B/S
MD
01
—
KA80
B/C B/S
MD
Enumeration date
02/03/2006
Last updated
06/17/2013
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