Provider Demographics
NPI:1477110773
Name:HELLYER, M BILL (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:M BILL
Middle Name:
Last Name:HELLYER
Suffix:
Gender:M
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:M
Other - Middle Name:BILL
Other - Last Name:HELLYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:125 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-3956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:601 DEERFIELD PKWY
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-7500
Practice Address - Country:US
Practice Address - Phone:224-513-6466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056004120225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist