| Derek Michael Willging, | |
|
11971 Wagon Wheel Rd, Rockton, IL 61072-3322 | |
| (815) 624-2615 | |
| Not Available |
| Full Name | Derek Michael Willging |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 11971 Wagon Wheel Rd, Rockton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699318022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4965-154 (Wisconsin) | Secondary |
| 235Z00000X | Speech-language Pathologist | 242005649 (Illinois) | Primary |
| Provider Name | Mercy Health System Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Michael Willging, 12076 Tresemer Rd, Roscoe, IL 61073-8925 Ph: (815) 601-9513 | Derek Michael Willging, 11971 Wagon Wheel Rd, Rockton, IL 61072-3322 Ph: (815) 624-2615 |
Taylor Rotolo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1050 E Union St, Rockton, IL 61072 Phone: 815-624-8585 | |
Mrs. Kristen Marie Miller, M.A.,CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 Bristlewood Ct, Rockton, IL 61072 Phone: 815-997-4501 | |
Julie Gerard, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 307 Salem St, Rockton, IL 61072 Phone: 815-624-5085 | |
Ms. Corynn Hanson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11971 Wagon Wheel Rd, Rockton, IL 61072 Phone: 815-624-2615 | |
Mrs. Leslie Jane Eggers, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11971 Wagon Wheel Rd, Rockton, IL 61072 Phone: 815-624-2615 | |
Keegan Thomas Ray, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1050 E Union St, Rockton, IL 61072 Phone: 815-624-8585 Fax: 815-624-1006 | |
Bright Start Speech And Language Services, Ltd. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 Bristlewood Ct, Rockton, IL 61072 Phone: 815-997-4501 Fax: 815-624-8087 |