Wilson, Katie

Wilson, Katie is an individual health care provider with primary practice located at 388 W. Terra Cotta Ave. , Crystal Lake IL 60014. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wilson, Katie can be contacted via phone (608) 361-0311.

Contact Information

Primary practice address
388 W. Terra Cotta Ave. Crystal Lake IL 60014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019032869 Illinois

Profile Details

NPI number 1588194229
LBN Legal business name Wilson, Katie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Jul 31st, 2023 - about 3 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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