MEDICARE: I.W.I.L.L., LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1679134050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I.W.I.L.L., LLC

Provider Business Mailing Address
First Line	:	235 ORCHARD LN
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19401-1311
Country	:	US
Telephone Number	:	215-313-8404
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 ORCHARD LN
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19401-1311
Country	:	US
Telephone Number	:	215-313-8404
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. THOMAS JOHNSON II
Credential	:
Telephone Number	:	215-313-8404

Provider Enumeration Date	:	06/26/2019
Last Update Date	:	06/26/2019

Similar Medicare Providers

1538018882 — ANNE BEALKA RN
Practice Location Address:

40 HURON AVE
EAST FREETOWN, MA
02717-1311

Practice Phone: 508-789-6371
Practice Fax:

1467471599 — CHRISTUS MEDICAL GROUP OBSTETRICS AND GYNECOLOGY ASSOCIATES
Practice Location Address:

1311 EAST GENERAL VAVAZOS BLVD.
KINGSVILLE, TX
78363

Practice Phone: 361-595-9900
Practice Fax:

1992894638 — RITE AID OF PENNSYLVANIA LLC
Practice Location Address:

25 EAST PIKE STREET
CANONSBURG, PA
15317-1311

Practice Phone: 724-745-4418
Practice Fax:

1598828402 — DR. CHRISTINE GUARDINO DMD
Practice Location Address:

9736 TRANSIT RD
EAST AMHERST, NY
14051-1311

Practice Phone: 716-688-5717
Practice Fax: 716-204-9028

1750423026 — STEVEN LAWRENCE UNDERWOOD DDS
Practice Location Address:

107 THREE RIVERS EAST
FORT WAYNE, IN
46802-1311

Practice Phone: 260-426-4438
Practice Fax:

1861694721 — DR. JOHN ROBERT TRANOVICH DDS
Practice Location Address:

249 EAST AVE
MONROE, OH
45050-1311

Practice Phone: 513-539-9997
Practice Fax: 513-539-5225

Directions to “I.W.I.L.L., LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.