Michael Fentriss Wilson in Hoffman Estates - Surgery

Michael Fentriss Wilson - NPI 1083600027

Michael Fentriss Wilson is a Surgery in Hoffman Estates, Illinois. Michael Fentriss Wilson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael Fentriss Wilson is 1083600027. The last update date is 2014-08-14.

Michael Fentriss Wilson's current location address is 1555 Barrington Rd, Hoffman Estates, Illinois. You can contact this provider via phone number 8478430726. The mailing address for Michael Fentriss Wilson is 1555 Barrington Rd, Hoffman Estates, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Fentriss Wilson
Address 1555 Barrington Rd, Hoffman Estates, Illinois
Phone Number 8478430726
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1083600027
Provider Enumeration Date 2005-09-26
Last Updated Date 2014-08-14

Provider Mailing Address Detail

Address 1555 Barrington Rd
City Hoffman Estates
State Illinois (IL)
Post Code 601691019
Phone Number 8478430726
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 036-060142
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
036-060142 IL --

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FAQs about Michael Fentriss Wilson

What is the unique 10-digit identifier code assigned to Michael Fentriss Wilson by the Centers for Medicare & Medicaid Services?

The Michael Fentriss Wilson has been issued the NPI (National Provider Identifier) 1083600027 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Michael Fentriss Wilson's facilities are geographically located?

The facilities of Michael Fentriss Wilson are physically situated at the following location: 1555 Barrington Rd, Hoffman Estates, IL, 601691019.

What is the Michael Fentriss Wilson's area of specialization and corresponding taxonomy classification?

The Michael Fentriss Wilson's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Michael Fentriss Wilson receive its 1083600027 assignment from the Centers for Medicare & Medicaid Services?

The Michael Fentriss Wilson was assigned its 1083600027 by the Centers for Medicare & Medicaid Services on 2005-09-26.

When was the Michael Fentriss Wilson's information last updated?

The Michael Fentriss Wilson's information was last updated on 2014-08-14.

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