Search › Illinois › 1223G0001X
Paul Wilson, DDS
NPI 1790827178 · on the registry since 2007 · sole proprietor
Practice
- Address
- 388 W Terra Cotta Ave
Crystal Lake, IL 60014 - Phone
- (815) 459-3433
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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