GERALD WILSON
NPI 1063100303
Technician, Other in Chicago, IL

Active since April 25, 2023
1004 N CLARK ST, CHICAGO, IL 60610(312) 291-9435 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD WILSON (NPI 1063100303) is an individual technician, other provider in Chicago, Illinois, licensed in Illinois (011253222) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1063100303
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameGERALD WILSON
Location Address1004 N CLARK STChicago, IL 60610-2941
Mailing Address1004 N Clark StChicago, IL 60610-2941 · (312) 291-9435
Sole ProprietorYes
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
NPI 1063100303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
License Licensed in IL · 011253222
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1004 N CLARK ST, Chicago, IL 60610

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Wilson's NPI number?

The NPI number for Gerald Wilson is 1063100303. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Gerald Wilson located?

Gerald Wilson practices at 1004 N Clark St, Chicago, IL 60610. The listed phone number is (312) 291-9435.

What is Gerald Wilson's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Gerald Wilson was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.