ELIZABETH ARDITH WILSON PA-C NPI 1780951913

NPI Information

NPI: 1780951913
Provider Name: ELIZABETH ARDITH WILSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: CARLE WEST PHYSICIAN GROUP INC

PECOS Registration: Yes

Address:
2650 RIDGE AVE
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2000
Get Directions

Elizabeth Ardith Wilson, PA-C is a medical physician assistant in Evanston, IL with 13 years of experience. Elizabeth Ardith Wilson, PA-C NPI is 1780951913. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2650 RIDGE AVE
EVANSTON, IL
ZIP 60201-718
Phone: (847) 570-2000

The NPI 1780951913 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2011 and was last updated on 11/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	085-004145	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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