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OIG exclusion detail

PHYLLIS WILSON

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
PHYLLIS WILSON
Address
P O BOX 1000 #B49246, LINCOLN, IL, 62656
Specialty
PERSONAL CARE PROVID
Exclusion type
1128a1
Exclusion date
20160818
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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