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Dr. Charles Stott Wilson, MD
Urology Physician in Jacksonville, Illinois
NPI 1164484267

Charles Stott Wilson is a Urology Physician based in Jacksonville, IL. Charles Stott Wilson practices in Jacksonville, IL and has the professional credentials of MD. The NPI Number for Charles Stott Wilson is 1164484267 and holds a License No. 036043460 (Illinois).

The current practice location address for Charles Stott Wilson is 814 West State, Jacksonville, IL and can be reached out via phone at 217-243-1865 and via fax at 217-243-6765.

Location: 814 West State, Jacksonville, IL, 62650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164484267
Provider Name
Charles Stott Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
814 West State, Jacksonville, IL, 62650
Phone Number
217-243-1865
Fax Number
217-243-6765
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036043460 05 IL
institution
Provider Business Practice Location Address Details
Address
814 West State
City
Jacksonville
State
Illinois
Zip
62650
Phone Number
217-243-1865
Fax Number
217-243-6765
person
Provider Business Mailing Address Details
Address
814 West State
City
Jacksonville
State
Illinois
Zip
62650
Phone Number
217-243-1865
Fax Number
217-243-6765
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
036043460 (Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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