Gerald Wilson
Gerald Wilson is an Other Technician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
1004 N Clark StChicago, IL 60610-2941
Phone: (312) 291-9435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence 011253222 (IL) |
|---|
Record details
| NPI number | 1063100303 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2023 |
| Last updated in NPPES | April 25, 2023 |
| Certification date | April 25, 2023 |
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