Individual
KENNETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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