Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN R WILSON, MD
ActiveNeurology · MELROSE PARK, IL
Registration Details
- NPI Number
- 1548243678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2005 (20.411731141557 yrs)
- Last Updated
- Jul 30, 2025
- Licenses
-
036088430 (IL)036088430 (IL)036088430 (IL)
Practice Information
- Address
-
1440 W NORTH AVE STE 304MELROSE PARK, IL, 601601426Browse IL providers · Browse ZIP 60160
- Phone
- 7086817879
- Fax
- 7086817886
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Clinical Neurophysiology
- Additional Specialty
- Sleep Medicine (Psychiatry)
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.