Organization
DR. MICHAEL WILLIAMS PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D WILLIAMS DPM (OWNER)
(708) 638-9807
Entity
Organization
Contact information
Practice address
2400 S FINLEY RD, UNIT 306, LOMBARD, IL 60148-7029
(708) 638-9507
(708) 698-9191
Mailing address
810 FOXWORTH BLVD, UNIT 111, LOMBARD, IL 60148-7032
(708) 638-9507
(708) 698-9191
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
16005302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005302
—
IL
Enumeration date
09/23/2014
Last updated
06/04/2015
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