Provider Demographics
NPI:1093977829
Name:LAWWILL, FAITH SIMONE
Entity Type:Individual
Prefix:MS
First Name:FAITH
Middle Name:SIMONE
Last Name:LAWWILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16456 NOTTINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-8718
Mailing Address - Country:US
Mailing Address - Phone:815-540-7202
Mailing Address - Fax:
Practice Address - Street 1:16456 NOTTINGHAM CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-8718
Practice Address - Country:US
Practice Address - Phone:815-540-7202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist