RICKIE R WILSON

NORTHSTAR ANESTHESIA OF ILLINOIS, LLC

Dr RICKIE R WILSON is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2003.

Contact

NORTHSTAR ANESTHESIA OF ILLINOIS, LLC

1423 CHICAGO RD
CHICAGO HEIGHTS
IL
604113400

Tel: 7087561000

RICKIE R WILSON Information

Npi 1417387119
Pac Id 5496988669
Professional Enrollment Id I20140616000233
Last Name WILSON
First Name RICKIE
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2003
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHSTAR ANESTHESIA OF ILLINOIS, LLC
Group Practice Pac Id 4688893878
Number Of Group Practice Members 91
Line 1 Street Address 1423 CHICAGO RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CHICAGO HEIGHTS
State IL
Zip Code 604113400
Phone Number 7087561000
Hospital Affiliation Ccn 1 140172
Hospital Affiliation Lbn 1 FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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