Individual ProviderAlex William WilsonSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327(309) 373-9113PECOS EnrollmentBased on the most recent information from CMS, provider Alex William Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1972303717Provider TypeIndividualFull NameWilson, Alex WilliamGenderMaleSole ProprietorNoEnumeration Date3/18/2025Last Updated3/18/2025Contact InformationPractice LocationPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327Phone(309) 373-9113FaxUnlisted FaxMailing LocationMailing Address122 N 5th Ave, New Windsor, IL 61465-9286Phone(309) 373-9113FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer