Individual provider · Type 1 NPI

Caroline Kreisl Wilson, APN

Nurse Practitioner · Orland Park, IL

NPI number 1053393512 Active

Practice location

16450 S 97th Ave
Orland Park, IL 60467-5587

Fax (708) 873-9774

Mailing address

PO Box 308
Mishawaka, IN 46546-0308

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053393512

Caroline Kreisl Wilson, APN's National Provider Identifier is 1053393512, issued on Nov 18, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orland Park, IL. The record was last updated on Jul 13, 2026.