Robert F Wilson Jr., M.D.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

693 Saint Charles Rd
Glen Ellyn, IL 60137-3619

Phone

(630) 469-5439

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert F Wilson Jr MD LTD

  • General Practice Physician
  • Winfield, IL
  • NPI 1891099461
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518038850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W281 GENEVA RD STE I",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902085",
            "telephone_number": "630-690-0650",
            "fax_number": "630-690-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 SAINT CHARLES RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373619",
            "telephone_number": "630-469-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Rose Wilens, OTR/L
• William J Dvorak DDS LTD
• Daniel Williams Jr.
• Janet A Williams, LCPC
• Kirsten Camille Williams, LCSW
• Aneta Wisniewska, MA
• Heather Wisniewski, D.C.
• Caroline Wolfe, MD
• Elise Wolff, DO
• John C Workman, DDS

• Surgical Physician Assistant in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.