Individual
JAMES WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 W SOUTH ST, FREEPORT, IL 61032-6840
(815) 599-1569
Mailing address
1204 W PALM DR, MT PROSPECT, IL 60056-4129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032589
IL
1223G0001X
General Practice Dentistry
019.032589
IL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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