| James E. Wilson Md Sc | |
|
122 South Michigan Ave. Suite 1300 Chicago IL 60603 | |
| (312) 922-7575 | |
| Not Available |
| Full Name | James E. Wilson Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 122 South Michigan Ave., Chicago, Illinois |
| Authorized Official Name and Position | James Edward Wilson (PRESIDENT, JAMES E. WILSON, M.D. S.) |
| Authorized Official Contact | 3129227575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James E. Wilson Md Sc 122 South Michigan Ave. Suite 1300 Chicago IL 60603 Ph: (312) 922-7575 | James E. Wilson Md Sc 122 South Michigan Ave. Suite 1300 Chicago IL 60603 Ph: (312) 922-7575 |
| NPI Number | 1023331782 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Medicare PECOS PAC ID | 6204966153 |
|---|---|
| Medicare Enrollment ID | O20100619000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023331782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James E Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598868945 PECOS PAC ID: 9830229780 Enrollment ID: I20100619000071 |
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