Wilk, David
Wilk, David is an individual health care provider with primary practice located at 3330 W 177Th St Suite 1A, Hazel Crest IL 60429-2184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Wilk, David can be contacted via phone (708) 799-1100.Contact Information
Primary practice address
3330 W 177Th St Suite 1A
Hazel Crest IL 60429-2184
Phone: (708) 799-1100
Fax: (708) 799-8343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036070423 | Illinois |
Profile Details
| NPI number | 1184630626 |
|---|---|
| LBN Legal business name | Wilk, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184630626 | NPPES |
| Illinois | MEDICAID | 036079441 |
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