Individual
EMILY J WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BONUS AVE, BELVIDERE, IL 61008-2343
(815) 547-4527
Mailing address
915 RIVER RD, KINGSTON, IL 60145-8266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.002994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01036206
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
IL
01
—
146.002994
ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
2088765
STATE TEACHER CERTIFICATE FOR SCHOOL SERVICE PERSONNEL
IL
Enumeration date
09/07/2017
Last updated
09/07/2017
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