Individual provider · Type 1 NPI
Charles Stott Wilson, MD
Urology Physician · Jacksonville, IL
NPI number
1164484267
Active
Practice location
814 West State
Jacksonville, IL 62650
Fax (217) 243-6765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | 036043460 (IL) |
Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
About NPI 1164484267
Charles Stott Wilson, MD's National Provider Identifier is 1164484267, issued on Apr 4, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Jacksonville, IL. The record was last updated on Sep 11, 2008.