Organization
MICHAEL F. WILSON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FENTRISS WILSON M.D. (OWNER)
(847) 560-4676
Entity
Organization
Contact information
Practice address
1427 S EVERGREEN AVE, ARLINGTON HEIGHTS, IL 60005-3741
(847) 560-4676
(630) 689-5809
Mailing address
126 E WING ST, #185, ARLINGTON HEIGHTS, IL 60004-6064
(847) 560-4676
(630) 689-5809
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-060142
IL
Other
Enumeration date
09/18/2007
Last updated
03/29/2010
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