Scott Wilson
Scott Wilson is a Nurse Practitioner in Peoria, Illinois. Qualified in 2021, 5 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 5
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
900 Main St Ste 600Peoria, IL 61602-5025
Phone: (309) 672-4670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209024687 (IL) |
|---|
Record details
| NPI number | 1932858008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2022 |
| Last updated in NPPES | March 23, 2022 |
| Certification date | March 23, 2022 |
| Mailing address | 900 Main St Ste 600, Peoria, IL 61602-5025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Methodist Medical Center Of Illinois — 393 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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