Ilavenil Wilson, M.D.,

NPI 1932510963 · on the registry since 2014

Practice

Address: 25805 Barton Rd Ste 107
Loma Linda, CA 92354
Phone: (909) 709-1975
Organisation at this address: Shawn Uraine Md Inc.
Lifestyle Medicine Institute Llc
Loma Linda Obstetrics & Gynecology
Faculty Physicians And Surgeons Of Llusm
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207V00000X
207V00000X
Also registered as: 208600000X
208D00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-12-06

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 California