Individual
MAXINE DIANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10300 SOUTH WEST HIGHWAY LEXINGTON, CHICAGO RIDGE, IL 60615
(708) 945-3455
Mailing address
14508 S WESTERN AVE, POSEN, IL 60469-1331
(708) 945-3455
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002692
IL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us