Allison Brooke Wills, MA-CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cobden, IL
NPI 1285152256 · NPPES record last updated Aug 30, 2017
Key facts
- NPI
- 1285152256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.008991 (IL)
- Practice address
- 413 N Appleknocker St
Cobden, IL 62920-2121 - Phone
- (815) 761-6522
- Fax
- (815) 761-6522
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.008991 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.008991 | IL | Yes |
Addresses
Primary practice location
413 N Appleknocker St
Cobden, IL 62920-2121
Mailing address
375 Brown Section Rd
Cobden, IL 62920-3304
Phone (815) 761-6522
Other providers in Cobden, IL
- Operant: Speech, Language, and Behavior Therapy LLC
- Kristie Ann Russell
- Iris Siegel
- Lee Spalt
- Village Inn Cobden, Inc
All providers in Cobden, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.