Individual provider · Type 1 NPI

Corilise Marie Willis

Occupational Therapist · Chicago, IL

NPI number 1619002763 Active

Practice location

3004 S Pulaski Rd
Chicago, IL 60623-4458

Fax (773) 521-5305

Mailing address

318 Sauganash St
Park Forest, IL 60466-2227

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1619002763

Corilise Marie Willis's National Provider Identifier is 1619002763, issued on Feb 22, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.