Doctor Name: | DR. TIFFANY WILSON |
NPI Number: | 1609193077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 125-056033 |
Business Practice Address: | 9550 W 167th St Orland Park, IL - 604675561 |
Business Phone Number: | 7088734500 |
Business Fax Number: | |
Mailing Address: | 9550 W 167th St, ORLAND PARK |
State: | IL |
Postal Code: | 604675561 |
Phone Number: | 7088734500 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 125-056033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |