Individual
DR. JONATHAN PAUL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, CCC-SLP
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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