Jeffery John Willgale, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-010919 Issued in IL

Practice address

3001 Greenbay Road
Mail Code 116a
North Chicago, IL 60064

Phone

(847) 688-1900

Fax

(224) 610-3885

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679500136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HENRY PL",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600851921",
            "telephone_number": "847-263-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREENBAY ROAD",
            "address_2": "MAIL CODE 116A",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "847-688-1900",
            "fax_number": "224-610-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLGALE",
        "first_name": "JEFFERY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-010919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Welsh, PH.D.
• Allan Wernick, PH.D.
• Jessica S Wertz, PSY.D.
• Jennifer Ann Seluzicki West
• Evan R Whitbeck, D.D.S.
• Brendan Allyn Williams
• Eddie E Williams, PH.D.
• Kenneth Jordan Williams
• Lucas Williams, DMD
• Walter Douglas Williamson, RN, CRNA

• Clinical Social Worker in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.