JOHN ANTHONY WILSON

CHICAGO, IL
NPI1386694792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: IL  W42546178287)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
Mr. JOHN ANTHONY WILSON
2 W 115TH ST
CHICAGO, IL 60628-5512
Phone number: 773-995-0638
Mailing Address
Mr. JOHN ANTHONY WILSON
9022 S COLFAX AVE
CHICAGO, IL 60617-4025
Phone number: 773-995-7858