Individual
MARK ANTHONY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615-9323
(309) 589-6800
Mailing address
1223 W WILLOW LN, PEORIA, IL 61614-6916
(309) 256-9034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.124343
IL
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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