Individual
DR. BRUCE EDWARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8120 GEORGIA ST, SUITE B, MERRILLVILLE, IN 46410-6390
(847) 390-7666
(847) 390-9345
Mailing address
1455 E GOLF RD, SUITE 110, DES PLAINES, IL 60016-1250
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000747
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
016004547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004547
—
IL
05
—
100167720A
—
IN
Enumeration date
06/14/2006
Last updated
12/14/2016
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