Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY KATHERINE WILSON PA-C
NPI 1750205423
Physician Assistant in Hazel Crest, IL

Active since August 06, 2026
17800 KEDZIE AVE, HAZEL CREST, IL 60429(708) 213-4200 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Katherine Wilson Pa-c NPPES

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

MARY KATHERINE WILSON PA-C (NPI 1750205423) is an individual physician assistant in Hazel Crest, Illinois, licensed in Illinois (085.012146) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1750205423
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY KATHERINE WILSONCredential: PA-C
Location Address17800 KEDZIE AVEHazel Crest, IL 60429-2029
Mailing Address17800 Kedzie AveHazel Crest, IL 60429-2029 · (708) 213-4200
Sole ProprietorNo
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
NPI 1750205423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085.012146
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17800 KEDZIE AVE, Hazel Crest, IL 60429

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Occupational Therapist
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Psychiatry & Neurology (Psychiatry)
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Occupational Therapist
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Family Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Physician Assistant
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Nurse Practitioner (Neonatal, Critical Care)
17800 KEDZIE AVE
HAZEL CREST, IL 60429
Emergency Medicine
17800 KEDZIE AVE
HAZEL CREST, IL 60429

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1750205423. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Mary Wilson located?

Mary Wilson practices at 17800 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 213-4200.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.