Individual
ISAC WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15111 WOODLAWN AVE, DOLTON, IL 60419-2816
(312) 586-6365
Mailing address
15111 WOODLAWN AVE, DOLTON, IL 60419-2816
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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