SEAN WILSON

CHICAGO, IL
NPI1124732565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019034975)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
122300000X Dentist
(Licence: LA  7501)
Enumeration Date2023-01-10
Last Update Date2024-08-05
Business Address
Dr. SEAN WILSON DDS
7537 N CLARK ST
CHICAGO, IL 60626-1621
Phone number: 202-412-2824
Mailing Address
Dr. SEAN WILSON DDS
2720 W 23RD ST UNIT 2
CHICAGO, IL 60608
Phone number: 202-412-2824