RICHARD D. WILSON

DANVILLE, IL
NPI1770689036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  85-000895)
Enumeration Date2006-09-15
Last Update Date2007-07-08
Business Address
-- RICHARD D. WILSON
1900 E MAIN ST
DANVILLE, IL 61832-5100
Phone number: 217-554-4186
Mailing Address
-- RICHARD D. WILSON
2124 N 1300 EAST RD
WHITE HEATH, IL 61884-9312
Phone number: 217-687-4004
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