Mary Willis in Urbana - Speech-language Pathologist

Mary Willis - NPI 1992928386

Mary Willis is a Speech-language Pathologist in Urbana, Illinois. Mary Willis practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mary Willis is 1992928386. The last update date is 2007-07-08.

Mary Willis's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173262911 and fax number 2173448047. The mailing address for Mary Willis is 611 W Park St, Urbana, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Willis
Address 611 W Park St, Urbana, Illinois
Phone Number 2173262911
Fax Number 2173448047
Sole Proprietor N
Credentials SLP

NPI Number Detail

NPI Number 1992928386
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 611 W Park St
City Urbana
State Illinois (IL)
Post Code 618012500
Phone Number 2173262911
Fax Number 2173448047

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4117 IL HAMP PROV ID
203 IL BLUE CROSS PROV ID
371119538401 IL --
7216 PERSONALCARE ID
113326 HEALTHLINK PROV ID

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FAQs about Mary Willis

What is the unique 10-digit identification code assigned to Mary Willis by the Centers for Medicare & Medicaid Services?

The Mary Willis has been issued the NPI (National Provider Identifier) 1992928386, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mary Willis?

The Mary Willis is physically situated at 611 W Park St, in the city of Urbana, state of IL, with the postal code 618012500.

What is Mary Willis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Willis is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.

On what date did the Mary Willis receive the assignment of its 1992928386 from the Centers for Medicare & Medicaid Services?

The Mary Willis was issued its 1992928386 by the Centers for Medicare & Medicaid Services on 2007-04-11.

When was the information regarding Mary Willis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mary Willis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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