Individual
SHERRY MICHELE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 LOGAN DR, HERRIN, IL 62948-3732
(618) 998-8920
(618) 998-8923
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036124731
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124731
—
IL
05
—
370966854002
—
IL
01
—
640701
MEDICARE WPS FFS
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
06/24/2010
Last updated
01/10/2022
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