Individual
AMY C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-2563
(317) 222-2154
Mailing address
PO BOX 719094, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
01066854
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578770608
—
MI
05
—
200966000
—
IN
05
—
7100316940
—
KY
Enumeration date
05/17/2007
Last updated
02/13/2026
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