Individual
MARY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7032
Mailing address
836 W. WELLINGTON, CHICAGO, IL 60657
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41.189286
—
IL
Enumeration date
08/16/2006
Last updated
07/08/2007
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