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NPI Profile for KEVIN M WILSON in CHICAGO, IL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1073037008 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/01/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KEVIN M WILSON
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KEVIN M WILSON