Christine Wilson, APRN
Nurse Practitioner, Family in McHenry, IL. Individual provider (NPI-1).
NPI number1366084477
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1366084477
- Entity type
- Individual (NPI-1)
- Name
- Christine Wilson
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 277.004187 | IL | Yes |
| 163W00000X | Registered Nurse | 041440400 | IL | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 277.004187 | IL | |
| 363L00000X | Nurse Practitioner | 14673-33 | WI |
Practice location
620 S Il Route 31 Ste 3McHenry, IL 60050-3134
Phone 815-475-5878
Mailing address
620 S State Route 31 Ste 3McHenry, IL 60050-3134
Phone 815-475-5878
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Family Nurse Practitioner providers in McHenry · All 2,101 providers in McHenry
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