Individual
CAROL WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
24600 W 127TH ST, BLDG B, STE 240, PLAINFIELD, IL 60585-9507
(815) 267-8830
Mailing address
24600 W 127TH ST, BLDG B, STE 240, PLAINFIELD, IL 60585-9507
(815) 267-8830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.259035
IL
163WR0006X
Registered Nurse First Assistant
Primary
041.259035
IL
Other
Enumeration date
09/04/2014
Last updated
02/18/2015
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