Individual
GLADYS WILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6063
(312) 864-9835
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6063
(312) 864-9835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
150008881
IL
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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