Search › Illinois › 222Q00000X
Deja Wilson
NPI 1821786732 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5200 Midlothian Tpke Apt 115
Crestwood, IL 60418 - Phone
- (773) 349-4513
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-27
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