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MS. MARY WILLIS SLP NPI 1992928386


NPI Information

NPI: 1992928386
Provider Name: MS. MARY WILLIS, SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
611 W PARK ST
URBANA, IL
ZIP 61801
Phone: (217) 326-2911
Get Directions

MS. Mary Willis, SLP is a speech language pathologist in Urbana, IL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MS. Mary Willis, SLP NPI is 1992928386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 W PARK ST
URBANA, IL
ZIP 61801-500
Phone: (217) 326-2911
Fax: (217) 344-8047

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203OTHERILLINOISBLUE CROSS PROV ID
2140091MEDICARE ID-TYPE UNSPECIFIED
3371119538401MEDICAIDILLINOIS
44117OTHERILLINOISHAMP PROV ID
57216OTHERPERSONALCARE ID
6113326OTHERHEALTHLINK PROV ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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