Individual provider · Type 1 NPI

Jerome Laurence Wilson, PA-C

Surgical Physician Assistant · Skokie, IL

NPI number 1588765010 Active

Practice location

9650 Gross Point Rd
Skokie, IL 60076-5080

Call (847) 676-1112 Map

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1700

Other practice locations

  • 2605 Lincoln Hwy, Suite 121, Olympia Fields, IL 60461-1846 · (773) 354-8990

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085001943 (IL)

Surgical Physician Assistant: Definition to come...

25 other providers at this address

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About NPI 1588765010

Jerome Laurence Wilson, PA-C's National Provider Identifier is 1588765010, issued on Sep 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Skokie, IL. The record was last updated on Feb 26, 2026.