National Provider Identifier Database

KEVIN M WILSON
Durable Medical Equipment & Medical Supplies

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.


Contact Information

KEVIN M WILSON
2547 W AUGUSTA BLVD # 4
CHICAGO, IL60622-4561
Phone: 773-573-7150
Fax: 708-575-0720
Website:
Specialty Taxonomy Code
* Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for KEVIN M WILSON

NPI Number 1073037008
Credentials
Entity Individual
Enumeration date 08/01/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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