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Individual
THOMAS L. WILLIAMS
Active
Individual
THOMAS L. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003706
IL
363AS0400X
Surgical Physician Assistant
085003706
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085003706
—
IL
Enumeration date
10/21/2005
Last updated
06/03/2021
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