Deja Wilson

Developmental Therapist · Crestwood, IL

Individual Active NPI

NPI number 1821786732

Practice location

5200 Midlothian Tpke Apt 115
Crestwood, IL 60418-4139
Phone
(773) 349-4513

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NPI record

NPI
1821786732
Entity type
Individual (Type 1)
Enumeration date
April 27, 2023
Last updated
April 27, 2023
Certified
April 27, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — IL

About Deja Wilson

Deja Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 5200 Midlothian Tpke Apt 115, Crestwood, IL 60418-4139. The NPI number 1821786732 was assigned on April 27, 2023 and the record was last updated on April 27, 2023.

Frequently asked questions

What is the NPI number of Deja Wilson?

The NPI number is 1821786732.

What is the phone number of Deja Wilson?

The phone number listed for the practice location is (773) 349-4513.

Where is Deja Wilson located?

5200 Midlothian Tpke Apt 115, Crestwood, IL 60418-4139.

What is the taxonomy code for Deja Wilson?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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