Individual
ALISHA ROSE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5841 S. MARYLAND AVE., CHICAGO, IL 60637
(773) 702-7408
(773) 834-0201
Mailing address
5841 S. MARYLAND AVE, CHICAGO, IL 60637
(773) 702-7408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024157
IL
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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