Individual
AISHA TATE-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000
Mailing address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019074
IL
363LF0000X
Family Nurse Practitioner
209.01974
IL
363LF0000X
Family Nurse Practitioner
209019074
IL
Other
Enumeration date
05/29/2019
Last updated
03/14/2024
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