Individual
ABIGAIL ROSE WILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
2309 KEYSTONE AVE, NORTH RIVERSIDE, IL 60546-1334
(708) 284-1900
Mailing address
2309 KEYSTONE AVE, NORTH RIVERSIDE, IL 60546-1334
(708) 284-1900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-17-34056
IL
225XP0200X
Pediatric Occupational Therapist
Primary
056015790
IL
Other
Enumeration date
05/01/2018
Last updated
11/27/2023
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