Debora Fon Wilson
Debora Fon Wilson is a Nurse Practitioner in Bloomingdale, Illinois. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
1 Tiffany PtBloomingdale, IL 60108-2936
Phone: (630) 924-1160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 041403714 (IL) |
|---|
Record details
| NPI number | 1992390371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2021 |
| Last updated in NPPES | March 7, 2021 |
| Certification date | March 7, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |