Kelly Weidner
Rehabilitation Counselor
20439 Glen Vista Ln
Crest Hill
, Illinois 60435-0729
Kelly Weidner
Rehabilitation Counselor
20439 Glen Vista Ln
Crest Hill
, Illinois 60435-0729
(815) 836-9930
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Kelly Weidner
- 20439 Glen Vista Ln
- Crest Hill, IL
- Zip : 60435-0729
- Fax : (815) 836-9930
- Phone : (815) 836-3965
Second Address
- Kelly Weidner
- 20439 Glen Vista Ln
- Crest Hill, IL
- Zip : 60435-0729
- Fax : (815) 836-9930
- Phone : (815) 836-3965
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | KW16880304P | IL |
National Provider Identifier
| NPI | 1194858183 |
|---|---|
| Provider Name | Kelly Weidner |
| First Address | Crest Hill, IL 60435-0729 |
| Second Address | Crest Hill, IL 60435-0729 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.