| NPI | 1114333978 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2014-07-01 |
| Last Updated | 2014-10-11 |
| Mailing Address | 7531 S Stony Island Ave Chicago, IL 60649-3954 United States Phone: (773) 947-7500 📍 View Map |
| Primary Practice Address | 7531 S Stony Island Ave Chicago, IL 60649-3954 United States Phone: (773) 947-7500 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | IL | 125065945 |
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About NPI 1114333978
Senetta Wilson M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114333978. The primary specialty listed is Family Medicine. The provider is located in Chicago, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-07-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114333978?
NPI 1114333978 belongs to Senetta Wilson M.D., a Family Medicine in Chicago, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114333978 active?
The current status of NPI 1114333978 in the NPPES registry is Active. The record was last updated on 2014-10-11.
What specialty is NPI 1114333978?
NPI 1114333978 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114333978?
You can verify NPI 1114333978 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114333978?
The primary practice address on file for NPI 1114333978 is 7531 S Stony Island Ave, Chicago, IL 60649-3954. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114333978 issued?
NPI 1114333978 was first issued (enumerated) on 2014-07-01. The NPPES record was last updated on 2014-10-11.
Practice Location Map
Senetta Wilson is located at 7531 S Stony Island Ave, Chicago, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Senetta Wilson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114333978. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 125065945 | IL |