Individual
LESLIE SIMONE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
14308 MINERVA AVE, DOLTON, IL 60419-1343
(708) 953-5192
Mailing address
14308 MINERVA AVE, DOLTON, IL 60419-1343
(708) 953-5192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013451
IL
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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