Wilson, Michael Fentriss
Wilson, Michael Fentriss is an sole proprietor health care provider with primary practice located at 1555 Barrington Rd Suite 2300B, Hoffman Estates IL 60169-1019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Michael Fentriss can be contacted via phone (847) 843-0726.Contact Information
Primary practice address
1555 Barrington Rd Suite 2300B
Hoffman Estates IL 60169-1019
Phone: (847) 843-0726
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-060142 | Illinois |
Profile Details
| NPI number | 1083600027 |
|---|---|
| LBN Legal business name | Wilson, Michael Fentriss |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Aug 14th, 2014 - about 11 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 | 1083600027 | NPPES |
| Illinois | MEDICAID | 036-060142 |
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