Corilise Marie Willis
Corilise Marie Willis is an Occupational Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
3004 S Pulaski RdChicago, IL 60623-4458
Phone: (773) 512-5300
Fax: (773) 521-5305
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X (IL) |
|---|
Record details
| NPI number | 1619002763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 318 Sauganash St, Park Forest, IL 60466-2227 |
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