KIMBERLY ROSE WILSON ANP-BC NPI 1538451141

NPI Information

  • NPI: 1538451141
  • Provider Name: KIMBERLY ROSE WILSON, ANP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6348 N MILWAUKEE AVE STE 390
    CHICAGO, IL
    ZIP 60646
  • Phone: (847) 235-6130

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NPI Details

Kimberly Rose Wilson, ANP-BC is an adult health nurse practitioner in Chicago, IL. Kimberly Rose Wilson, ANP-BC NPI is 1538451141. 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:

6348 N MILWAUKEE AVE STE 390
CHICAGO, IL
ZIP 60646-728
Phone: (847) 235-6130
Fax: (847) 235-6135

The NPI 1538451141 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 5/15/2011 and was last updated on 5/27/2025.

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
1363LA2200XNurse PractitionerAdult Health277000495ILLINOISYes

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

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