Individual provider · Type 1 NPI
Lisa Charivukalayil Wilson
Nurse Practitioner · Chicago, IL
Practice location
7741 W Catalpa Ave
Chicago, IL 60656-1638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209032604 (IL) |
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 1326936865
Lisa Charivukalayil Wilson's National Provider Identifier is 1326936865, issued on Jun 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 24, 2025.