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Contact Information

ALYSSA R WILSON, M.A.
5500 S SHORE DRIVE
APT 1405
CHICAGO, IL60637
 Phone: 407-403-9769
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ALYSSA R WILSON · (Female)

NPI Number 1639905904
Status Active
Credentials M.A.
Entity Individual
Enumeration date 09/12/2024
Last updated 09/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 150.114193
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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