Wilson, Michael John

Wilson, Michael John is an individual health care provider with primary practice located at 4747 W Peterson Ave Ste 303 , Chicago IL 60646-5748. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Wilson, Michael John can be contacted via phone (773) 606-4303.

Contact Information

Primary practice address
4747 W Peterson Ave Ste 303 Chicago IL 60646-5748
Phone: (773) 606-4303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071.009991 Illinois

Profile Details

NPI number 1386203537
LBN Legal business name Wilson, Michael John
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Aug 6th, 2024 - about 2 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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