Willenbring, Mallory

Willenbring, Mallory is an sole proprietor health care provider with primary practice located at 429 S Taylor Ave Apt 2S , Oak Park IL 60302-4363. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Willenbring, Mallory can be contacted via phone (815) 222-5677.

Contact Information

Primary practice address
429 S Taylor Ave Apt 2S Oak Park IL 60302-4363
Phone: (815) 222-5677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1063722734
LBN Legal business name Willenbring, Mallory
Credentials M.S., DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2010
Last updated Aug 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers