Dr Judith Diane Wilson, DC is a
Chiropractor based in Ashley, Illinois. Dr Judith Diane Wilson is licensed to practice in Illinois (license number 038005940) and her current practice location is
13169 N Dutch Ln, Ashley, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 485-6661.
NPI number for Dr Judith Diane Wilson is 1487728010 and her current mailing address is 13169 N Dutch Ln, Ashley, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487728010.
Healthcare Provider's Profile
| Full Name | Dr Judith Diane Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Chiropractor |
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| Location | 13169 N Dutch Ln, Ashley, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487728010
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 06/03/2008
Medical Identifiers
Medical identifiers for Dr Judith Diane Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487728010 | NPI | - | NPPES |
| 038005940 | Medicaid | IL | |
| 4182006 | Other | | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 038005940 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Judith Diane Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Judith Diane Wilson, DC 13169 N Dutch Ln, Ashley, IL 62808-4108 Ph: (618) 485-6661 | Dr Judith Diane Wilson, DC 13169 N Dutch Ln, Ashley, IL 62808-4108 Ph: (618) 485-6661 |
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