IndividualActive
Cora Wilson
NPI 1497462097 · Other Technician · Broadview, IL
Provider details
- NPI number
- 1497462097
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1827 S 16th Ave
Broadview, IL 60155-3011
Phone: (708) 299-0746
Approximate (ZIP-level) locationGet directions
Mailing address
1827 S 16th Ave
Broadview, IL 60155-3011
Registry dates
- Enumerated
- 2022-11-02
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.