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

Richard D. Wilson

Individual provider Medical Physician Assistant · NPI 1770689036

Richard D. Wilson is a Medical Physician Assistant in Danville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

1900 E Main St
Danville, IL 61832-5100
Phone: (217) 554-4186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 85-000895 (IL)

Record details

NPI number1770689036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2124 N 1300 East Rd, White Heath, IL 61884-9312

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