Wilson, Richard A

Wilson, Richard A is an individual health care provider with primary practice located at 15300 West Ave Suite 20, Orland Park IL 60462-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilson, Richard A can be contacted via phone (708) 460-5550.

Contact Information

Primary practice address
15300 West Ave Suite 20 Orland Park IL 60462-4600
Phone: (708) 460-5550
Fax: (708) 226-2595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036065125 Illinois

Profile Details

NPI number 1508867144
LBN Legal business name Wilson, Richard A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Jan 24th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508867144 NPPES
Illinois MEDICAID 036065125
Illinois Other F400265424

Popular Providers