Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH WILSON
ActiveKENNETH WILSON is a Surgical Critical Care healthcare provider located in CHICAGO, Illinois. NPI 1902871742 is currently active in the NPPES registry. Verify at CMS.
Surgical Critical Care · CHICAGO, IL
Registration Details
- NPI Number
- 1902871742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2006 (20.439112434399 yrs)
- Last Updated
- Oct 24, 2022
- License
-
036144110 (IL)
Practice Information
- Address
-
5841 S MARYLAND AVECHICAGO, IL, 606371443Browse IL providers · Browse ZIP 60637
- Phone
- 8888240200
- Primary Specialty
-
Surgical Critical Care
2086S0102X
Other Surgical Critical Care Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELE R HOLEVAR | M.D. | 1083616890 |
| DANIEL KACEY | MD | 1962498055 |
| DR. KAMANA ESTHER MBEKEANI | M.D | 1912981374 |
| SELWYN ROGERS | — | 1538121462 |
| MICHELE MARIE MELLETT | M.D. | 1376588525 |
| DR. RICHARD JOSEPH FANTUS | MD | 1457383697 |
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.