Robert F Wilson Jr MD LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

336011207 Issued in IL

Legal business name

ROBERT F WILSON JR MD LTD

Practice address

27W281 Geneva Rd Ste I
Winfield, IL 60190-2085

Phone

(630) 690-0650

Fax

(630) 690-0713

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert F Wilson Jr., M.D

Title

President

Phone

(630) 690-0650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1891099461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W 281 GENEVA RD STE I",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902035",
            "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": "27W281 GENEVA RD STE I",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902085",
            "telephone_number": "630-690-0650",
            "fax_number": "630-690-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F WILSON JR MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-690-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "336011207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Winfield, IL
• Providers in Winfield, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.