NPI 1194858183

Kelly Weidner

Practitioner Rehabilitation Counselor Crest Hill, IL

Practice location

Address: 20439 Glen Vista Ln, Crest Hill, IL 60435-0729
Phone: (815) 836-3965
Fax: (815) 836-9930

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence KW16880304P (IL)

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Registry record

NPI: 1194858183
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.