Charles C Willis
Charles C Willis is a Physical Therapy Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2649 E 75th StChicago, IL 60649-3835
Phone: (773) 356-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160007583 (IL) |
|---|
Record details
| NPI number | 1174066492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 18, 2016 |
| Last updated in NPPES | November 18, 2016 |
| Mailing address | 2649 E 75th St, Chicago, IL 60649-3835 |
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