Search › Illinois › 332B00000X
Kevin Wilson
NPI 1073037008 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2547 W Augusta Blvd # 4
Chicago, IL 60622 - Phone
- (773) 573-7150
- Fax
- (708) 575-0720
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Sex
- Male
- Record last updated
- 2022-07-21
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