Thomas L Wilson M D Ltd

Specialty details in registry · Jacksonville, IL

Call (217) 243-1865 Directions

At a glance

814 W State, Jacksonville, IL 62650

NPPES record updated Jun 1, 2011. Public records can lag behind changes at a practice.

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Practice location

814 W State
Jacksonville, IL 62650
Professional details: NPI, taxonomy & registry record
NPI1275597817
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
208800000X
Enumeration date
Apr 12, 2006
Record updated
Jun 1, 2011
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208800000X · Primary

License reported: 060001084 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

814 W State
Jacksonville, IL 62650
Phone
(217) 243-1865
Fax
(217) 243-6765
Mailing address
814 W STATE

JACKSONVILLE, IL 62650
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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