Individual
ERICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11130 S WESTERN AVE # STORE1, CHICAGO, IL 60643-3963
(773) 941-8665
Mailing address
11130 S WESTERN AVE, CHICAGO, IL 60643-3963
(773) 941-8665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041432378
IL
Other
Enumeration date
08/09/2022
Last updated
03/24/2025
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