Individual
DR. ANNE ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D, PH.D.
Contact information
Practice address
605 E UNIVERSITY AVE, URBANA, IL 61802-2029
(217) 383-4070
Mailing address
106 GIANT CITY RD, MONTICELLO, IL 61856-8174
(217) 762-7447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371119538009
—
IL
Enumeration date
12/27/2006
Last updated
07/08/2007
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