MR. TERRY WILSON (NPI# 1508027558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508027558 |
| Entity Type | Individual |
| Full Name | MR. TERRY WILSON |
| Credential | CERTIFIED MASSAGE TH |
| Practice Address |
641 W 119th St Chicago IL 60628 |
| Mailing Address |
1135 E 47th St #2d Chicago IL 60653 |
| Practice Telephone | 7736601975 |
| Mailing Telephone | 3122820041 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227004655 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013320555 | Terry James Wilson | Licensed Vocational Nurse | 12118 Walnut Park Xing, 1212, Austin, TX 78753-6706 | 2014-06-03 |
| 1386852143 | Terry Lamont Wilson | Counselor | 3741 Stocker St Ste 210, Los Angeles, CA 90008-5109 | 2007-05-17 |
| 1124246475 | Terry Dwayne Wilson | Counselor | 3423 Melrose Rd # A, Fayetteville, NC 28304-1608 | 2007-04-23 |
| 1184611832 | Terry M Wilson | Social Worker | 211 Forest Cir, Goldsboro, NC 27530-9008 | 2005-09-28 |
| 1063056729 | Terry Dee Ann Wilson | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2019-11-05 |
| 1205498433 | Terry Shawn Wilson | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-09 |
| 1558559690 | Terry Wayne Wilson | Chiropractor | 24835 La Palma Ave Ste D, Yorba Linda, CA 92887-5532 | 2007-10-12 |
| 1174671853 | Terry Lee Wilson | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-08 |
| 1073609442 | Terry L Wilson | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531 | 2006-10-05 |
| 1235188301 | Terry Roger Wilson | Occupational Therapist | 920 Oliver Rd, Monroe, LA 71201-5702 | 2006-05-08 |
| Street Address |
641 W 119TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 1063028553 | Jerica N Mayo | Massage Therapist | 9430 S Loomis St # 9, Chicago, IL 60620-3615 | 2020-09-20 |
| 1770199622 | Anthony Richard Nichols | Massage Therapist | 4437 N Lowell Ave Unit 2, Chicago, IL 60630-4103 | 2020-09-16 |
| 1225643471 | Molly K Crino | Massage Therapist | 2024 S Allport St Apt 1m, Chicago, IL 60608-3870 | 2020-09-14 |
| 1215542642 | Leslie Morrison | Massage Therapist | 2010 S Wabash Ave Apt 3f, Chicago, IL 60616-1779 | 2020-09-11 |
| 1255946091 | Justin C Deschamps | Massage Therapist | 3244 W Carroll Ave # 1, Chicago, IL 60624-2030 | 2020-09-09 |
| 1275147142 | Kennisha C Simmons | Massage Therapist | 7447 S South Shore Dr Apt 31d, Chicago, IL 60649-3871 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.