Individual
DEANDRE RAMON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, MAYWOOD, IL 60153
(708) 216-9000
Mailing address
2160 S FIRST AVE, MAYWOOD, IL 60153
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036117328
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008194480001
—
PA
01
—
1531384
HIGHMARK BS
PA
01
—
2216927000
INDEPENDENCE BC
PA
Enumeration date
03/30/2006
Last updated
04/05/2019
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