Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Wilson

Individual provider Trauma Surgery Physician · NPI 1902871742

Kenneth Wilson is a General Surgery in Chicago, Illinois. Graduated from Howard University College of Medicine in 1996, 30 years ago. Practices with University of Chicago, a 1,681-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
30
Trained at
Howard University College of Medicine
Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 036144110 (IL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036144110 (IL)

Record details

NPI number1902871742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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