Individual
HEATHER LAUREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 N HOOKER ST, SUITE 301, CHICAGO, IL 60642-4633
(312) 943-3600
Mailing address
534 W WELLINGTON AVE, APT 402, CHICAGO, IL 60657-5456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
791243
CA
163WH0200X
Home Health Registered Nurse
Primary
041.398564
IL
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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