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Individual

TENNIA WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8132 S KEDZIE AVE, CHICAGO, IL 60652-2605
(773) 779-1310
Mailing address
2753 W 89TH PL, EVERGREEN PARK, IL 60805-1305
(708) 955-2664

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
02/01/2022
Last updated
02/01/2022
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