Individual
DR. KURT J WILLIAMS
Active
Individual
DR. KURT J WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036059197
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059197
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147053
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P00931953
RR MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
09/30/2005
Last updated
05/14/2012
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