Individual
INDIA R WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1525 E 55TH ST, CHICAGO, IL 60615-5512
(773) 388-1600
(773) 783-8197
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
(773) 388-1602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016523
IL
Other
Enumeration date
09/21/2017
Last updated
04/19/2019
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