Individual
AMANDA J WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 582-2134
(847) 535-7285
Mailing address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 582-2134
(847) 535-7285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005099
IL
363A00000X
Physician Assistant
5601006509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629321914
—
MI
Enumeration date
10/24/2012
Last updated
10/08/2025
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