NPI 1073037008
Kevin M Wilson
Practice location
- Address
- 2547 W Augusta Blvd # 4, Chicago, IL 60622-4561
- Phone
- (773) 573-7150
- Fax
- (708) 575-0720
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1073037008
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Aug 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.