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1710084124
PAUL R WILSON
CHAMPAIGN, IL
NPI
1710084124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IL 036080131)
Enumeration Date
2006-09-20
Last Update Date
2014-05-16
Business Address
-- PAUL R WILSON MD
1701 W. CURTIS ROAD ADULT MEDICINE
CHAMPAIGN, IL 61822
Phone number: 217-365-6507
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Mailing Address
-- PAUL R WILSON MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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