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John Anthony Wilson

Home Health Aide in Chicago, IL. Individual provider (NPI-1).

NPI number1386694792
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1386694792
Entity type
Individual (NPI-1)
Name
Mr. John Anthony Wilson
Sex
Male
Sole proprietor
No
Enumeration date
May 10, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health AideW42546178287ILYes

Practice location

2 W 115th St
Chicago, IL 60628-5512

Phone 773-995-0638

Mailing address

9022 S Colfax Ave
Chicago, IL 60617-4025

Phone 773-995-7858

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