Mychole Willis, SSP is a
Psychologist - School based in Chicago Heights, Illinois. Mychole Willis is licensed to practice in Illinois (license number 2289879) and her current practice location is
41 E Elmwood Dr, Chicago Heights, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 647-7019.
NPI number for Mychole Willis is 1780190132 and her current mailing address is 41 E Elmwood Dr, Chicago Heights, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780190132.
Healthcare Provider's Profile
Full Name | Mychole Willis |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 41 E Elmwood Dr, Chicago Heights, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780190132
- Provider Enumeration Date: 12/21/2017
- Last Update Date: 12/21/2017
Medical Identifiers
Medical identifiers for Mychole Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780190132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 2289879 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mychole Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mychole Willis, SSP 41 E Elmwood Dr, Chicago Heights, IL 60411-1104 Ph: (708) 647-7019 | Mychole Willis, SSP 41 E Elmwood Dr, Chicago Heights, IL 60411-1104 Ph: (708) 647-7019 |
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