| Terence F Wilson, | |
|
9630 S Komensky Ave Apt 210, Oak Lawn, IL 60453-3360 | |
| (929) 372-0380 | |
| Not Available |
| Full Name | Terence F Wilson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 9630 S Komensky Ave Apt 210, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447049739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AG04250063 (Illinois) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 209.033206 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 317 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803 |
| Entity Name | Complexcare Medical Group Midwest M PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528851607 PECOS PAC ID: 1355858630 Enrollment ID: O20250906000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Terence F Wilson, 9630 S Komensky Ave Apt 210, Oak Lawn, IL 60453-3360 Ph: (929) 372-0380 | Terence F Wilson, 9630 S Komensky Ave Apt 210, Oak Lawn, IL 60453-3360 Ph: (929) 372-0380 |
Danielle Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 310, Oak Lawn, IL 60453 Phone: 708-684-9230 Fax: 708-684-9231 |
Amy Simone, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 404, Oak Lawn, IL 60453 Phone: 800-323-8622 |
Andrea Christina Hammond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 |
Gabriel Marie Holtman, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4400 W 95th St Ste 106, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 |
Molly Ann Best, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5437 Fax: 708-684-4808 |
Mr. Kevin Vermeer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 630-790-1872 Fax: 708-229-0090 |
Diana Szynalik, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-612-6133 |