Individual
RICHELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 N MORGAN ST, CHICAGO, IL 60607-2612
(773) 822-5372
Mailing address
2920 E 78TH ST, CHICAGO, IL 60649-4802
(773) 822-5372
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
011.265990
IL
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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