Individual
DR. JEANNE B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 E BUTTERFIELD RD # 297, ELMHURST, IL 60126
(708) 795-0100
(708) 795-0101
Mailing address
PO BOX 745, ELMHURST, IL 60126-0745
(708) 795-0100
(708) 795-0101
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036120843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120843
—
IL
Enumeration date
06/11/2008
Last updated
04/16/2019
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