Provider Demographics
NPI:1831314012
Name:WILL, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WILL
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 1:374 COUNTY ROAD 400 E
Mailing Address - Street 2:
Mailing Address - City:SIGEL
Mailing Address - State:IL
Mailing Address - Zip Code:62462-2028
Mailing Address - Country:US
Mailing Address - Phone:217-821-4233
Mailing Address - Fax:
Practice Address - Street 1:374 COUNTY ROAD 400 E
Practice Address - Street 2:
Practice Address - City:SIGEL
Practice Address - State:IL
Practice Address - Zip Code:62462-2028
Practice Address - Country:US
Practice Address - Phone:217-821-4233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist