Wilson, Kevin M

Wilson, Kevin M is an sole proprietor health care provider with primary practice located at 2547 W Augusta Blvd # 4 , Chicago IL 60622-4561. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Wilson, Kevin M can be contacted via phone (773) 573-7150.

Contact Information

Primary practice address
2547 W Augusta Blvd # 4 Chicago IL 60622-4561
Phone: (773) 573-7150
Fax: (708) 575-0720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1073037008
LBN Legal business name Wilson, Kevin M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2017
Last updated Jul 21st, 2022 - about 4 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.

Request for update

Popular Providers