Individual
KARON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0900
Mailing address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
(618) 397-3944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
22694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22694
CADC
IL
Enumeration date
03/14/2016
Last updated
03/14/2016
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