Mr. Michael Donavan Wilson
Mr. Michael Donavan Wilson is a Professional Counselor in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
200 N LewisWaukegan, IL 60087
Phone: (224) 944-9247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 178.014502 (IL) |
|---|
Record details
| NPI number | 1982268017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 24, 2019 |
| Last updated in NPPES | April 24, 2019 |
| Mailing address | 1521 Southport Court, Zion, IL 60099 |
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