Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD D. WILSON
Active Sole ProprietorRICHARD D. WILSON is a Medical Physician Assistant healthcare provider located in DANVILLE, Illinois. NPI 1770689036 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · DANVILLE, IL
Registration Details
- NPI Number
- 1770689036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2006 (19.948844011279 yrs)
- Last Updated
- Jul 8, 2007
- License
-
85-000895 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 E MAIN STDANVILLE, IL, 618325100Browse IL providers · Browse ZIP 61832
- Phone
- 2175544186
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in DANVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| CHARLES ALLAN BURKOWSKI | PA-C | 1457463713 |
| MR. GEORGE F OLIVIER | P-AC | 1114021581 |
| MS. JULIE ANN REAVILL | PA-C | 1114197241 |
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.