Willis, Mychole

Willis, Mychole is an individual health care provider with primary practice located at 41 E Elmwood Dr , Chicago Heights IL 60411-1104. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Willis, Mychole can be contacted via phone (708) 647-7019.

Contact Information

Primary practice address
41 E Elmwood Dr Chicago Heights IL 60411-1104
Phone: (708) 647-7019
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2289879 Illinois

Profile Details

NPI number 1780190132
LBN Legal business name Willis, Mychole
Credentials SSP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2017
Last updated Dec 21st, 2017 - about 8 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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