DR. ERIC JAMES WILSON M.D. NPI 1437342193

NPI Information

NPI: 1437342193
Provider Name: DR. ERIC JAMES WILSON, M.D.
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

Address:
719 MAIN ST
EVANSTON, IL
ZIP 60202
Phone: (847) 492-8414
Get Directions

DR. Eric James Wilson, M.D. is an addiction psychiatry psychiatry neurology in Evanston, IL. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Eric James Wilson, M.D. NPI is 1437342193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

719 MAIN ST
EVANSTON, IL
ZIP 60202-701
Phone: (847) 492-8414

The enumeration date for this NPI number is 8/24/2007 and was last updated on 1/30/2008.

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	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K4828	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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