Individual
WILLA L WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1901 S. HARRISON ST., CHICAGO, IL 60612-3714
(312) 864-5218
(312) 864-9638
Mailing address
9218 S LONGWOOD DR, CHICAGO, IL 60620-5543
(312) 864-5218
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
209-002276
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209-002276
IL
Other
Enumeration date
08/05/2006
Last updated
05/04/2021
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