CORILISE MARIE WILLIS

CHICAGO, IL
NPI1619002763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056004478)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- CORILISE MARIE WILLIS
3004 S PULASKI RD
CHICAGO, IL 60623-4458
Phone number: 773-512-5300
Mailing Address
-- CORILISE MARIE WILLIS
318 SAUGANASH ST
PARK FOREST, IL 60466-2227
Phone number: