Search › Illinois › 103TS0200X
Mychole Willis, SSP
NPI 1780190132 · on the registry since 2017
Practice
- Address
- 41 E Elmwood Dr
Chicago Heights, IL 60411 - Phone
- (708) 647-7019
- Organisation at this address
- Flossmoor School District 161
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-21
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