Charlotte Wilson
Charlotte Wilson is an Occupational Therapist in Private Practice in Chicago, Illinois. Qualified in 2023, 3 years ago. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
4619 N Ravenswood Ave Ste 300Chicago, IL 60640-4579
Phone: (773) 697-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 056.016072 (IL) |
|---|
Record details
| NPI number | 1154168334 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 13, 2024 |
| Last updated in NPPES | July 13, 2024 |
| Certification date | July 13, 2024 |
| Mailing address | 1120 S Grove Ave, Oak Park, IL 60304-1909 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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