Organization
KM WILLIAMS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENYA M WILLIAMS MD (PRESIDENT)
(312) 622-7320
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, STE 910, CHICAGO, IL 60612-3841
(312) 622-7320
Mailing address
3949 S ELLIS AVE, CHICAGO, IL 60653-2419
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
038.118717
IL
Other
Enumeration date
04/12/2017
Last updated
04/13/2017
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