MEDICARE: CHRISTINE WILSON APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	14673-33	WI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	277.004187	IL
3	363LF0000X	Family Nurse Practitioner	277.004187	IL
4	163W00000X	Registered Nurse	041440400	IL

General Provider Information

NPI Number	:	1366084477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE WILSON APRN

Provider Business Mailing Address
First Line	:	1305 RANDALL RD
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8601
Country	:	US
Telephone Number	:	815-356-0386
Fax Number	:

Provider Business Practice Location Address
First Line	:	5225 OLD ORCHARD RD STE 50
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-1027
Country	:	US
Telephone Number	:	773-461-0220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2019
Last Update Date	:	02/15/2026

Similar Medicare Providers

1689525438 — CATHAY LANCASTER LMFT
Practice Location Address:

5225 OLD ORCHARD RD STE 26A
SKOKIE, IL
60077-1027

Practice Phone: 847-644-3211
Practice Fax:

1871530659 — DR. JEAN MARIE GRIFFIN PHD
Practice Location Address:

5225 OLD ORCHARD RD STE 32
SKOKIE, IL
60077-1027

Practice Phone: 773-680-2244
Practice Fax: 847-470-0741

1720002488 — JANICE FLECKMAN LCSW
Practice Location Address:

5225 OLD ORCHARD RD STE 1
SKOKIE, IL
60077-1027

Practice Phone: 847-328-1688
Practice Fax:

1003823444 — MS. SUSAN L MASON LCSW
Practice Location Address:

5225 OLD ORCHARD RD STE 3
SKOKIE, IL
60077-1027

Practice Phone: 847-604-0476
Practice Fax: 847-853-1665

1710996053 — MS. JOANNE SIMON KESTNBAUM LCSW
Practice Location Address:

5225 OLD ORCHARD RD STE 29
SKOKIE, IL
60077-1027

Practice Phone: 847-899-2911
Practice Fax:

1043314495 — GERALDINE COOPER KRASNER LCSW
Practice Location Address:

5225 OLD ORCHARD RD. , SUITE 1
SKOKIE, IL
60077-1027

Practice Phone: 847-965-8155
Practice Fax: 847-256-9440

Directions to “ CHRISTINE WILSON APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.