Individual
CLARISSA LAUREN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W TAYLOR ST STE 3D, CHICAGO, IL 60612-4795
(866) 600-2273
Mailing address
31 SIBLEY ST STE A, HAMMOND, IN 46320-1725
(219) 802-8800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28213693A
IN
363LF0000X
Family Nurse Practitioner
Primary
209024051
IL
363LF0000X
Family Nurse Practitioner
71011689A
IN
Other
Enumeration date
09/22/2021
Last updated
02/06/2025
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