Organization
BURGESS CHRISTIANSEN WILSON, MD, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURGESS C. WILSON M.D. (PRESIDENT)
(312) 223-9202
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, SUITE 1714, CHICAGO, IL 60602-1708
(312) 223-9202
(312) 223-9203
Mailing address
25 E WASHINGTON ST, SUITE 1714, CHICAGO, IL 60602-1708
(312) 223-9202
(312) 223-9203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/17/2007
Last updated
08/16/2013
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