Individual
KIESHA T WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5758 S MARYLAND AVE, CHICAGO, IL 60637-1426
(773) 702-1000
Mailing address
6615 N. GREENVIEW AVENUE, 1ST FLR, CHICAGO, IL 60626
(847) 834-5199
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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