Wilson, Abigail Diane

Wilson, Abigail Diane is an individual health care provider with primary practice located at 5911 Northwest Hwy Ste 207 , Crystal Lake IL 60014-8043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilson, Abigail Diane can be contacted via phone (815) 526-3781.

Contact Information

Primary practice address
5911 Northwest Hwy Ste 207 Crystal Lake IL 60014-8043
Phone: (815) 526-3781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209024540 Illinois

Profile Details

NPI number 1386303329
LBN Legal business name Wilson, Abigail Diane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2021
Last updated Dec 16th, 2021 - about 3 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.

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