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1386694792
JOHN ANTHONY WILSON
CHICAGO, IL
NPI
1386694792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: IL W42546178287)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
Mr. JOHN ANTHONY WILSON
2 W 115TH ST
CHICAGO, IL 60628-5512
Phone number: 773-995-0638
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Mailing Address
Mr. JOHN ANTHONY WILSON
9022 S COLFAX AVE
CHICAGO, IL 60617-4025
Phone number: 773-995-7858
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