SearchIllinois104100000X

Kylie Wilson

NPI 1013628288 · on the registry since 2022

Practice

Address
2014 E Washington St
Joliet, IL 60433
Phone
(708) 642-6779

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois