Individual
MISS REGINA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
199 W RAND RD, MOUNT PROSPECT, IL 60056-1151
(847) 618-5400
(847) 618-3709
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000591
IL
363A00000X
Physician Assistant
1026417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085000591
STATE LICENSE
IL
Enumeration date
01/05/2006
Last updated
04/02/2026
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