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DR. CHARLES STOTT WILSON MD
NPI 1164484267
Urology in Jacksonville, IL

Active since April 04, 2006
814 WEST STATE, JACKSONVILLE, IL 62650(217) 243-1865(217) 243-6765 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Stott Wilson Md NPPES

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

DR. CHARLES STOTT WILSON MD (NPI 1164484267) is an individual urology provider in Jacksonville, Illinois, licensed in Illinois (036043460) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1164484267
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. CHARLES STOTT WILSONCredential: MD
Location Address814 WEST STATEJacksonville, IL 62650
Mailing Address814 West StateJacksonville, IL 62650 · (217) 243-1865 · Fax (217) 243-6765
Phone(217) 243-1865
Fax(217) 243-6765
Sole ProprietorYes
Enumeration DateApril 4, 2006
Last NPPES UpdateSeptember 11, 2008
✔ NPI 1164484267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036043460
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
814 WEST STATE, Jacksonville, IL 62650
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Other Identifiers 4

Medicaid036043460IL
Medicare UPIND86550
Medicare PINL80928IL
Medicare ID-Type Unspecified219550IL

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 Charles Wilson's NPI number?

The NPI number for Charles Wilson is 1164484267. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Charles Wilson located?

Charles Wilson practices at 814 West State, Jacksonville, IL 62650. The listed phone number is (217) 243-1865.

What is Charles Wilson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Charles Wilson was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.