Individual
DR. MICHAEL RICHARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 SKOKIE BLVD, NORTHBROOK, IL 60062-4012
(847) 272-7426
(847) 412-6440
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036.110638
IL
208100000X
Physical Medicine & Rehabilitation Physician
DO25780
OR
Other
Enumeration date
12/15/2005
Last updated
01/11/2024
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