Individual
CASSIDY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-7100
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.082539
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.082539
IL
Other
Enumeration date
03/14/2022
Last updated
09/20/2023
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