Doctor Name: | SAMUEL LLOYD WILSON |
NPI Number: | 1821422809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 070020026 |
Business Practice Address: | 2900 Foxfield Rd Suite 205 St Charles, IL - 601745799 |
Business Phone Number: | 6303156415 |
Business Fax Number: | |
Mailing Address: | 20 Hackberry Ln, GLENVIEW |
State: | IL |
Postal Code: | 600253452 |
Phone Number: | 8473020013 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2013 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070020026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |