Provider Demographics
NPI:1386745164
Name:HELLYER, WILLIAM C JR (MBA, OTR/L)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:C
Last Name:HELLYER
Suffix:JR
Gender:M
Credentials:MBA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 TELLURIDE CT
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:IL
Mailing Address - Zip Code:61011-9006
Mailing Address - Country:US
Mailing Address - Phone:815-979-2555
Mailing Address - Fax:
Practice Address - Street 1:3475 S ALPINE RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61109-2604
Practice Address - Country:US
Practice Address - Phone:815-874-8000
Practice Address - Fax:815-874-7525
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist