Individual provider · Type 1 NPI

Erin Willis

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1144746959 Active

Practice location

4401 N Main St
Rockford, IL 61103-1277

Call (815) 921-9200 Map

Mailing address

95 Grant St Apt 1
Crystal Lake, IL 60014-4330

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X242.004526 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144746959

Erin Willis's National Provider Identifier is 1144746959, issued on Aug 15, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Aug 15, 2017.