Individual provider · Type 1 NPI

Janice Shigeko Wilson, PA-C

Medical Physician Assistant · North Chicago, IL

NPI number 1730292756 Active

Practice location

3001 Green Bay Rd
North Chicago, IL 60064-3048

Call (224) 610-3871 Map

Fax (224) 610-2958

Mailing address

216 W Park St
Mundelein, IL 60060-1747

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X85000265 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1730292756

Janice Shigeko Wilson, PA-C's National Provider Identifier is 1730292756, issued on Aug 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in North Chicago, IL. The record was last updated on Jul 8, 2007.