Joseph Wilson
Radiology, Diagnostic Radiology in Chicago, IL. Individual provider (NPI-1).
NPI number1861925257
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1861925257
- Entity type
- Individual (NPI-1)
- Name
- Joseph Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2017
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036153111 | IL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 01092617A | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5841 S Maryland AveChicago, IL 60637-1443
Phone 888-824-0200
Mailing address
150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Other practice locations
10855 Virginia St
Crown Point, IN 46307-0210
Crown Point, IN 46307-0210
Phone 888-824-0200
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