IndividualActive
Andrel Willis, PHD, LE, LMT, CHT
NPI 1043765290 · Health & Wellness Coach · Park Forest, IL
Provider details
- NPI number
- 1043765290
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Credential
- PHD, LE, LMT, CHT
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
362 Wilshire St
Park Forest, IL 60466-1514
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.