Wilson, Amber

Wilson, Amber is an individual health care provider with primary practice located at 25 N Winfield Rd Ste 424 , Winfield IL 60190-1379. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wilson, Amber can be contacted via phone (630) 933-4056.

Contact Information

Primary practice address
25 N Winfield Rd Ste 424 Winfield IL 60190-1379
Phone: (630) 933-4056
Fax: (630) 933-4057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601005578 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA056675 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005692 Illinois

Profile Details

NPI number 1376776831
LBN Legal business name Wilson, Amber
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2009
Last updated May 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376776831 NPPES
Michigan MEDICAID 1376776831
Michigan Other 1417961137

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