Individual
MR. WAYNE C WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1276 N CLYBOURN AVE, CHICAGO, IL 60610-2089
(312) 337-1073
Mailing address
864 SHERIDAN RD, EVANSTON, IL 60202-1473
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036059450
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059450
—
IL
01
—
31603083
BC
IL
Enumeration date
01/19/2007
Last updated
08/03/2023
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