IndividualActive
Brent Wilson, DPT
NPI 1346836814 · Orthopedic Physical Therapist · Chicago, IL
Provider details
- NPI number
- 1346836814
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 070.025455 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1640 W Roosevelt Rd
Chicago, IL 60608-1316
Phone: (312) 355-8305
Fax: (312) 413-8333
Approximate (ZIP-level) locationGet directions
Mailing address
1640 W Roosevelt Rd
Chicago, IL 60608-1316
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.