Individual
DR. JOHN ELLIS WILLIAMSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(815) 942-2932
Mailing address
10500 DEER CHASE AVE, ORLAND PARK, IL 60467-9013
(708) 364-1253
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036109152
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036-109152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109152-1
—
IL
Enumeration date
06/06/2006
Last updated
09/27/2023
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