Individual provider · Type 1 NPI
Cora Wilson
Other Technician · Broadview, IL
NPI number
1497462097
Active
Practice location
1827 S 16th Ave
Broadview, IL 60155-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
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.
About NPI 1497462097
Cora Wilson's National Provider Identifier is 1497462097, issued on Nov 2, 2022. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Broadview, IL. The record was last updated on Nov 2, 2022.