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Dr. Tanner Joseph Wilson

Nutrition

225 W Hubbard St Ste 302225w
Chicago , Illinois 60654-4916

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Image

Dr. Tanner Joseph Wilson

Nutrition

225 W Hubbard St Ste 302225w
Chicago , Illinois 60654-4916

(785) 448-8796

Write a Review Save Call

Dr. Tanner Joseph Wilson

Nutrition

225 W Hubbard St Ste 302225w
Chicago , Illinois 60654-4916

(785) 448-8796 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nutrition

Languages spoken

  • English

Location

225 W Hubbard St Ste 302225w Chicago , Illinois 60654-4916

First Address

  • Dr. Tanner Joseph Wilson
  • 225 W Hubbard St Ste 302225w
  • Chicago, IL
  • Zip : 60654-4916
  • Phone : (785) 448-8796

Second Address

  • Dr. Tanner Joseph Wilson
  • 225 W Hubbard St Ste 302225w
  • Chicago, IL
  • Zip : 60654-4916
  • Phone : (785) 448-8796

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FAQs


Where did Dr. Tanner Joseph Wilson attend graduate school?

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Where did Dr. Tanner Joseph Wilson do his residency?

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Where did Dr. Tanner Joseph Wilson do his fellowship?

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Is Dr. Tanner Joseph Wilson board certified?

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What type of doctor is Dr. Tanner Joseph Wilson

Nutrition

In what state does Dr. Tanner Joseph Wilson practice in?

Illinois

Where is Dr. Tanner Joseph Wilson ’s practice located?

225 W Hubbard St Ste 302225w , Chicago, Illinois, 60654-4916

What is Dr. Tanner Joseph Wilson ’s gender?

Male

Is Dr. Tanner Joseph Wilson a sole practitioner?

No

Is Dr. Tanner Joseph Wilson accepting new patients?

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What languages does Dr. Tanner Joseph Wilson speak?

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Does Dr. Tanner Joseph Wilson accept insurance?

Yes, Dr. Tanner Joseph Wilson accepts insurance

Does Dr. Tanner Joseph Wilson offers telemedicine?

Dr. Tanner Joseph Wilson has not indicated if he offers telemedicine

What is Dr. Tanner Joseph Wilson ’s professional license number?

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What is Dr. Tanner Joseph Wilson ’s NPI number?

1093383994

Does Dr. Tanner Joseph Wilson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111NN1001X Nutrition 038013728 IL

National Provider Identifier

NPI 1093383994
Provider Name Dr. Tanner Joseph Wilson
First Address Chicago, IL 60654-4916
Second Address Chicago, IL 60654-4916
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/06/2021
Last Update Date 16/06/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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