Provider Demographics
NPI:1497029193
Name:WILKINS, GINA (NP)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:WILKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24600 W 127TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9507
Mailing Address - Country:US
Mailing Address - Phone:815-731-9000
Mailing Address - Fax:815-731-9001
Practice Address - Street 1:24600 W 127TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9511
Practice Address - Country:US
Practice Address - Phone:815-713-9000
Practice Address - Fax:815-713-9001
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily