Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WILSON, M.D.
Active Sole ProprietorSHANNON WILSON, M.D. is a Family Medicine healthcare provider located in CHICAGO, Illinois. NPI 1013443175 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CHICAGO, IL
Registration Details
- NPI Number
- 1013443175
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2017 (9.2419199876458 yrs)
- Last Updated
- Feb 9, 2022
- License
-
125.070395 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1357 W 103RD STCHICAGO, IL, 606432392Browse IL providers · Browse ZIP 60643
- Phone
- 7732380800
- Fax
- 7732380428
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| ANDREW M PAVLATOS | MD | 1679576201 |
| KEVIN G MURPHY | MD | 1932102563 |
| ROKEYA BEGUM AKHTAR | MD | 1780687368 |
| JAMES P CLANCY | MD | 1538162102 |
| CHRISTINE L SCHWARTZ PETERSON | MD | 1285637801 |
| MARZENA LIPINSKA | MD | 1487657078 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.