Individual
JUANITA ERICA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 BOHLAND AVE, BELLWOOD, IL 60104
(773) 440-5461
Mailing address
622 BOHLAND AVE, BELLWOOD, IL 60104-1836
(773) 440-5461
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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