Willis, Andrel M

Willis, Andrel M is an sole proprietor health care provider with primary practice located at 362 Wilshire St , Park Forest IL 60466-1514. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Behavior Technician. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Willis, Andrel M can be contacted via phone (815) 790-0899.

Contact Information

Primary practice address
362 Wilshire St Park Forest IL 60466-1514
Phone: (815) 790-0899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227017963 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X Illinois
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1043765290
LBN Legal business name Willis, Andrel M
Credentials PHD, LE, LMT, CHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2016
Last updated Nov 5th, 2025 - about last year

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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