Most Relevant Information
Provider Data
| NPI Number: | 1003287079 |
| Provider Name: | JEFFREY P WILSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | MD-51990 |
Most Important Dates
| Enumeration Date: | 10/15/2015 |
| Last Updated: | 04/18/2024 |
Provider Practice Location
2300 N EDWARD ST
DECATUR
IL
625264192
Practice Location Phone/Fax
| Phone: | 2178768121 |
| Fax: |
Provider Mailing Location
2300 N EDWARD ST
DECATUR
IL
625264192
Provider Mailing Phone/Fax
| Phone: | 2178768121 |
| Fax: |
Suggested EMR
Internist EMR