CARRIE C. WILSON (NPI# 1639287766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639287766 |
| Entity Type | Individual |
| Full Name | CARRIE C. WILSON |
| Credential | MD |
| Practice Address |
6801 S Bennett Ave Chicago IL 60649-1501 |
| Practice Telephone | 3123419373 |
| Mailing Telephone | 3123419373 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2009-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-055269 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306221833 | Carrie Ann Wilson | Licensed Practical Nurse | 713 County Route 5, Pulaski, NY 13142-2225 | 2015-07-27 |
| 1124419809 | Carrie Wilson | Student in an Organized Health Care Education/Training Program | 2743 N Wilton Ave, Chicago, IL 60614-1423 | 2015-02-16 |
| 1760727846 | Carrie Wilson | Specialist/Technologist | 2424 196th St Nw, Stanwood, WA 98292-5788 | 2012-11-30 |
| 1619280898 | Carrie Woods Wilson | Speech-Language Pathologist | 1501 Golden Gate Dr, Carrollton, TX 75007-5067 | 2010-07-16 |
| 1750531612 | Carrie Ann Wilson | Occupational Therapist | 5077 Creek Rd, Medina, NY 14103-9525 | 2008-09-26 |
| 1922179118 | Carrie L Wilson | Counselor | 1121 Nikki View Dr, Brandon, FL 33511-4879 | 2006-11-11 |
| 1679655104 | Carrie H Wilson | Registered Nurse | 2625 Buckingham Rd, Dodgeville, WI 53533-9126 | 2006-10-20 |
| 1952916512 | Carrie Wilson | Licensed Vocational Nurse | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2020-09-10 |
| 1114557899 | Carrie Maygen Wilson | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2020-01-22 |
| 1598293599 | Carrie Wilson | Counselor | 1014 N Country Club Rd, Tucson, AZ 85716-4239 | 2017-06-02 |
| Street Address |
6801 S BENNETT AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
| 1639699127 | Eugene David Hill | Emergency Medicine | 1623 N Rockwell St, Chicago, IL 60647-5217 | 2017-06-26 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| Find all providers in CHICAGO | ||||
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| 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.