Cora Wilson
Cora Wilson is an Other Technician in Broadview, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
1827 S 16th AveBroadview, IL 60155-3011
Phone: (708) 299-0746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X (IL) |
|---|
Record details
| NPI number | 1497462097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2022 |
| Last updated in NPPES | November 2, 2022 |
| Certification date | November 2, 2022 |
| Mailing address | 1827 S 16th Ave, Broadview, IL 60155-3011 |