Dorthia D Wilson is a Peoria, Illinois based nurse practitioner with 10 years of experience in . She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dorthia D Wilson is 209030955 for Primary Care in Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria. Patients can reach her at 309-624-8820 or can fax her at 309-624-8820. Dorthia D Wilson is NP and her NPI number (Unique professional ID assigned by NPPES) is 1669838496. Dorthia D Wilson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Dorthia D Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022314582
Enrollment ID:
I20160309000814
NPI Number:
1669838496
NPI Enumeration Date:
09 Jan, 2016
NPI Last Update On:
18 Dec, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dorthia D Wilson are as mentioned below.
License Number
Specialization
State
Status
209030955
Primary Care
Illinois
Primary
6647
Nurse Practitioner
Wisconsin
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520189)
Kenosha, WI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dorthia D Wilson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Aurora Medical Group, Inc. (6709794258)
2867
Other Medical Identifiers:
Other legacy medical identifiers associated with Dorthia D Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100054093
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dorthia D Wilson 530 Ne Glen Oak Ave, Peoria, Illinois
Zip:
61637-0001
Phone Number:
309-624-8820
Fax Number:
309-624-8820
Patients can reach Dorthia D Wilson at 530 Ne Glen Oak Ave, Peoria, Illinois or can call to book an appointment on 309-624-8820.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.