Individual
MRS. CHERYL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
200 N ILLINOIS ST, TOLEDO, IL 62468-1034
(217) 849-3000
(217) 849-3434
Mailing address
746 COUNTY ROAD 625 N, TOLEDO, IL 62468-4007
(217) 849-3857
(217) 849-3434
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
041.139324
IL
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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