NPI 1083434476
Michelle Wilson, AA
Practice location
- Address
- 202 S Bentley St, Marion, IL 62959-1908
- Phone
- (855) 608-3560
- Fax
- (618) 997-6489
- Mailing address
- 902 W Main St, West Frankfort, IL 62896-2210
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1083434476
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Oct 2024
- Record last updated
- 11 Oct 2024
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.