GERALD WILSON NPI 1063100303

NPI Information

  • NPI: 1063100303
  • Provider Name: GERALD WILSON
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 1004 N CLARK ST
    CHICAGO, IL
    ZIP 60610
  • Phone: (312) 291-9435

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NPI Details

Gerald Wilson is a technician other in Chicago, IL. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Gerald Wilson NPI is 1063100303. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1004 N CLARK ST
CHICAGO, IL
ZIP 60610-941
Phone: (312) 291-9435

The enumeration date for this NPI number is 4/25/2023 and was last updated on 4/25/2023.

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
1247200000XTechnician, Other011253222ILLINOISYes

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: 11/21/2025

NPI Synchronization or Removal

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