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Gerald Wilson
NPI 1063100303 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1004 N Clark St
Chicago, IL 60610 - Phone
- (312) 291-9435
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-25
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