Tyler Wayne Wilson

NPI #1154998110 in Chicago, Illinois

Provider Information

NPI Number
1154998110
Entity Type
Individual
Name
Tyler Wayne Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Enumeration Date
Jun 8, 2021
Last Updated
May 11, 2023

Practice Location

Address
5841 S MARYLAND AVE # MC6040
ZIP Code
60637-1443
Phone
(773) 702-6337

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Surgery

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