IndividualActive
Gerald Wilson
NPI 1063100303 · Other Technician · Chicago, IL
Gerald Wilson is a Other Technician provider in Chicago, IL (NPI 1063100303).
Provider details
- NPI number
- 1063100303
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 011253222 (IL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1004 N Clark St
Chicago, IL 60610-2941
Phone: (312) 291-9435
Street-level locationGet directions
Mailing address
1004 N Clark St
Chicago, IL 60610-2941
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Frequently asked questions
- What is Gerald Wilson's NPI number?
- Gerald Wilson's National Provider Identifier (NPI) is 1063100303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerald Wilson's specialty?
- Gerald Wilson is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Gerald Wilson located?
- Gerald Wilson's practice location on file with NPPES is 1004 N Clark St, Chicago, IL 60610-2941.
- What is Gerald Wilson's phone number?
- The practice phone number listed in the NPPES registry for Gerald Wilson is (312) 291-9435.
- Is Gerald Wilson's NPI active?
- Yes — Gerald Wilson's NPI (1063100303) is active in the NPPES registry as of the last update on 2023-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.