NPI

Nathan G Wilson

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
LPT
Type
Individual
Enumeration date
2007-11-29
Last updated
2026-09-03

Specialties

Licenses

License IL
070016087

Location

Practice location
131 N Bellwood Dr Ste C
City
East Alton IL
Postal code
62024-2088
Phone
(618) 259-9400

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in East Alton, IL. 96 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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