Willging, Derek Michael

Willging, Derek Michael is an sole proprietor health care provider with primary practice located at 11971 Wagon Wheel Rd , Rockton IL 61072-3322. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Willging, Derek Michael can be contacted via phone (815) 624-2615.

Contact Information

Primary practice address
11971 Wagon Wheel Rd Rockton IL 61072-3322
Phone: (815) 624-2615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4965-154 Wisconsin
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242005649 Illinois

Profile Details

NPI number 1699318022
LBN Legal business name Willging, Derek Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2019
Last updated Oct 17th, 2019 - about 7 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.

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