Search › Illinois › 235Z00000X
Carol Wylie, C.C.C./SLP
NPI 1629231840 · on the registry since 2008
Practice
- Address
- 901 Illini Dr
East Peoria, IL 61611 - Phone
- (309) 694-6446
- Fax
- (309) 698-0650
- Organisation at this address
- Petersen Health Operations
Petersen Health Operations, Llc
Fondulac Rehabilitation & Health Care Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois