KENNETH WILSON NPI 1902871742

NPI Information

  • NPI: 1902871742
  • Provider Name: KENNETH WILSON
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5841 S MARYLAND AVE
    CHICAGO, IL
    ZIP 60637
  • Phone: (888) 824-0200

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NPI Details

Kenneth Wilson is a surgical critical care surgery in Chicago, IL with 30 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Kenneth Wilson NPI is 1902871742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637-443
Phone: (888) 824-0200

The NPI 1902871742 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 2/22/2006 and was last updated on 10/24/2022.

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
12086S0102XSurgerySurgical Critical Care036144110ILLINOISYes

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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