MEDICARE: HAYLEE WILSON

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	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1922931716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEE WILSON

Provider Business Mailing Address
First Line	:	710 ALLPHIN AVE
Second Line	:
City	:	DECATUR
State	:	IL
Zip	:	62521-9083
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 ALLPHIN AVE
Second Line	:
City	:	DECATUR
State	:	IL
Zip	:	62521-9083
Country	:	US
Telephone Number	:	217-972-9544
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

Similar Medicare Providers

1982839056 — KELLY CLARK DDS PC
Practice Location Address:

3737 E ROUTE 36
DECATUR, IL
62521

Practice Phone: 217-423-2400
Practice Fax:

1336071745 — SABRINA LANE COTA/L
Practice Location Address:

5277 E MARYLAND ST
DECATUR, IL
62521-9705

Practice Phone: 217-408-5091
Practice Fax:

1528013471 — J A K ENTERPRISES INC
Practice Location Address:

331 W 1ST DR
DECATUR, IL
62521-5207

Practice Phone: 217-422-3881
Practice Fax: 217-422-3883

1407871882 — DR. GEORGE DUNCAN M.D.
Practice Location Address:

1770 E LAKE SHORE DR , SUITE 307
DECATUR, IL
62521-3832

Practice Phone: 217-428-1500
Practice Fax: 217-428-1512

1619800240 — JARED SCHONERT
Practice Location Address:

1045 E ELDORADO ST
DECATUR, IL
62521-1915

Practice Phone: 217-474-5993
Practice Fax:

1326041229 — ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Practice Location Address:

1800 E LAKE SHORE DR
DECATUR, IL
62521

Practice Phone: 217-464-2966
Practice Fax: 217-464-1616

Directions to “ HAYLEE WILSON ” 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.