Michael Fentriss Wilson M.D.

NPI 1083600027 - Surgery - 208600000X

NPI Details
NPI 1083600027
Gender Male
Enumeration Date 09/26/2005
Last Updated 08/14/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1555 BARRINGTON RD
SUITE 2300B
HOFFMAN ESTATES IL, 60169-1019, US
Phone (847) 843-0726
Fax
Business Location
126 E WING ST
#185
ARLINGTON HEIGHTS IL, 60004-6064, US
Phone (847) 560-4676
Fax (630) 689-5809
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 036-060142
Remove 1083600027 NPI Number
 

According to our database, Dr. Michael Fentriss Wilson M.D. NPI is 1083600027, taxonomy code is 208600000X and license number is 036-060142, license state is located at Illinois. Michael Fentriss Wilson M.D. physically located at 1555 Barrington Rd, Hoffman Estates IL, 60169-1019. NPI Number Michael Fentriss Wilson M.D. has the Individual type.

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1083600027 NPI number is provided on an as is basis without warranty of any kind. 1083600027 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Fentriss Wilson M.D. are for informational purposes only.