Individual provider · Type 1 NPI

Madison Wilson

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1447154596 Active

Practice location

845 S Damen Ave
Chicago, IL 60612-3727

Call (312) 996-7800 Map

Mailing address

1402 N 11th St
Pekin, IL 61554-2153

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X041406219 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447154596

Madison Wilson's National Provider Identifier is 1447154596, issued on Oct 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Oct 5, 2026.