Individual
KENNETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR, SUITE 300, BURR RIDGE, IL 60527-5919
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
036144110
IL
2086S0127X
Trauma Surgery Physician
Primary
036144110
IL
Other
Enumeration date
02/22/2006
Last updated
04/14/2026
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