Jared Neil Wilson, DO

NPI #1992490924 in Peoria, Illinois

Provider Information

NPI Number: 1992490924
Entity Type: Individual
Name: Jared Neil Wilson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: DO
Enumeration Date: Apr 6, 2023
Last Updated: Oct 29, 2025

Practice Location

Address: 530 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 655-2109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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