Search › Illinois › 235Z00000X
Derek Willging
NPI 1699318022 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11971 Wagon Wheel Rd
Rockton, IL 61072 - Phone
- (815) 624-2615
- Organisation at this address
- Winnebago Co Sp Ed Coop
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-17
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