Wilson Care, Inc.

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

0029975 Issued in IL

Legal business name

WILSON CARE, INC.

Practice address

4544 N Hazel St
Chicago, IL 60640-5716

Phone

(773) 561-7241

Fax

(773) 728-2606

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Winter, CPA

Title

Treasurer

Phone

(847) 674-5200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962407361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123517",
            "telephone_number": "847-674-5200",
            "fax_number": "847-674-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 N HAZEL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405716",
            "telephone_number": "773-561-7241",
            "fax_number": "773-728-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "847-674-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0029975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Robert Wilmington, MD
• Lisa Diane Wilsbacher, M.D. PH.D.
• David Keith Wilsman, R.N.
• Joel Wilsnack, M.D.
• Wilson and Smith Inc.
• Wilson Unlimited Family Enterprises, LLC
• Iris Marie Wilson-Farley
• Alicia Ann Wilson-Thomas, NCC, LCPC
• Adrienne Ashley Wilson, M.D.
• Alan M. Wilson, MD

• Mental Illness Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.