Wilson, Alan M.

Wilson, Alan M. is an individual health care provider with primary practice located at 6434 W North Ave , Chicago IL 60707-4030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wilson, Alan M. can be contacted via phone (773) 836-3000.

Contact Information

Primary practice address
6434 W North Ave Chicago IL 60707-4030
Phone: (773) 836-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G44366 California

Profile Details

NPI number 1487732384
LBN Legal business name Wilson, Alan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487732384 NPPES
California MEDICAID 00G443660

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