Provider Demographics
NPI:1962979534
Name:ROONEY, WILLIAM (CPED)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:ROONEY
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E ROOSEVELT RD STE B
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4561
Mailing Address - Country:US
Mailing Address - Phone:630-209-0716
Mailing Address - Fax:630-261-9319
Practice Address - Street 1:121 E ROOSEVELT RD STE B
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4561
Practice Address - Country:US
Practice Address - Phone:630-209-0716
Practice Address - Fax:630-261-9319
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist