MR. KEVIN M WILSON


Address: 2547 W Augusta Blvd # 4, Chicago, IL 60622-4561
Phone: (773) 573-7150

MR. KEVIN M WILSON (NPI# 1073037008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073037008
Entity Type Individual
Full Name MR. KEVIN M WILSON
Practice Address 2547 W Augusta Blvd # 4
Chicago
IL 60622-4561
Practice Telephone (773) 573-7150
Practice Fax Number 7085750720
Mailing Telephone 7735737150
Mailing Fax Number 7085750720
Enumeration Date 2017-08-01
Last Update Date 2017-08-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

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Office Location

Street Address 2547 W AUGUSTA BLVD # 4
City CHICAGO
State IL
Zip Code 60622-4561

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447880471 Erikson Institute Clinic/Center 2739 W Division St, Chicago, IL 60622 2020-01-17
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1891342093 Taylor Mallon Speech-Language Pathologist 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 2019-08-22
1083260277 Maggie Inman Student in an Organized Health Care Education/Training Program 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 2019-08-13
1174176168 Karol Maricel Quelal Analuisa Internal Medicine 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 2019-07-19
1073076105 Nichole Galullo Social Worker 1431 N Claremont 2nd Floor, Chicago, IL 60622 2019-04-06
1003375122 Alfredo Delgado Perez Sr. Psychologist 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 2019-03-18
1841773439 Abigail Hector Counselor 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 2018-09-11
1164916144 Dorothy Mitkowski Student in an Organized Health Care Education/Training Program 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 2018-06-21
1255825121 Kara Lynn Daniel Speech-Language Pathologist 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 2018-06-14
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003415514 Brandon M Hudson Durable Medical Equipment & Medical Supplies 185 N Franklin St Fl 3, Chicago, IL 60606-1932 2020-10-26
1295348084 Windy City Rehab Specialists LLC Durable Medical Equipment & Medical Supplies 1530 S State St Ste C003, Chicago, IL 60605-2964 2020-08-31
1972116499 Highland Park Cvs LLC Durable Medical Equipment & Medical Supplies 4631 W Foster Ave, Chicago, IL 60630 2020-08-25
1558974071 Highland Park Cvs LLC Durable Medical Equipment & Medical Supplies 555 W Webster Ave, Chicago, IL 60614-7610 2020-08-25
1689286759 Tia Strong Durable Medical Equipment & Medical Supplies 9413 S Vernon Ave, Chicago, IL 60619-7407 2020-08-20
1174134977 Home Health Connector, LLC Durable Medical Equipment & Medical Supplies 1514 W 87th St Ste 2, Chicago, IL 60620-4819 2020-08-14
1013527092 Walgreen Co Durable Medical Equipment & Medical Supplies 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 2020-08-05
1508475732 Lakepointe Spine, Inc. Durable Medical Equipment & Medical Supplies 3452 N Damen Ave, Chicago, IL 60618-6106 2020-07-23
1578184370 Tulsa Medical Supply & Logistics Inc Durable Medical Equipment & Medical Supplies 1657 S Troy St Apt 1, Chicago, IL 60623-2332 2020-05-03
1063031177 Nicholas Achtien Durable Medical Equipment & Medical Supplies 833 N Clark St Unit 1804, Chicago, IL 60610-3419 2020-04-09
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Competitor

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City CHICAGO
Zip Code 60622

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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