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Individual

OTANTHIA S WILLIAMS-BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2181
(708) 327-2424
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9122
(708) 216-0505

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.021711
IL

Other

Enumeration date
08/19/2020
Last updated
05/05/2021
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