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NPI 1922849306ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Crystal Lake, IL

Nurse Practitioner, Psych/Mental Health in Crystal Lake, Illinois, registered in NPPES in June 2024. The authorized official on file is Abigail Wilson, APRN, Owner.

Overview

NPI1922849306
StatusActive
Entity typeOrganization
NPI issuedJun 1, 2024
Last updated in NPPESOct 17, 2025
Certified by providerOct 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner, Psych/Mental Health providers in Crystal Lake

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