Loren G. Wilson D.d.s. P.c.
Specialty details in registry · Eldorado, IL
At a glance
1030 4Th St, Eldorado, IL 62930-1702
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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Practice location
1030 4Th StEldorado, IL 62930-1702
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223G0001X
- Enumeration date
- Feb 9, 2007
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
1223G0001X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1030 4Th StEldorado, IL 62930-1702
- Phone
- (618) 273-9684
- Fax
- (618) 273-7107
Mailing address
670 BIXLER RDELDORADO, IL 629303786
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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