Individual provider · Type 1 NPI

Gerald Wilson

Other Technician · Chicago, IL

NPI number 1063100303 Active

Practice location

1004 N Clark St
Chicago, IL 60610-2941

Call (312) 291-9435 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X011253222 (IL)

Other Technician: 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.

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About NPI 1063100303

Gerald Wilson's National Provider Identifier is 1063100303, issued on Apr 25, 2023. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 25, 2023.