Wielgopolan, Kylie
Wielgopolan, Kylie is an individual health care provider with primary practice located at 4996 Illinois Route 159 Suite B, Maryville IL 62062. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Wielgopolan, Kylie can be contacted via phone (618) 288-4677.Contact Information
Primary practice address
4996 Illinois Route 159 Suite B
Maryville IL 62062
Phone: (618) 288-4677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 056010241 | Illinois |
Profile Details
| NPI number | 1598512246 |
|---|---|
| LBN Legal business name | Wielgopolan, Kylie |
| Credentials | OT, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2024 |
| Last updated | May 1st, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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