Individual
MS. VIVIAN DANIELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
940 N MONTICELLO AVE # 1, CHICAGO, IL 60651-3949
(773) 739-4440
Mailing address
940 N MONTICELLO AVE # 1, CHICAGO, IL 60651-3949
(773) 739-4440
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IL
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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