Individual
LOUISE LATRICE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAY CARE PROVIDER
Contact information
Practice address
6559 S CLAREMONT AVE, CHICAGO, IL 60636-2418
(773) 294-7808
Mailing address
6559 S CLAREMONT AVE, CHICAGO, IL 60636-2418
(773) 294-7808
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
544101
IL
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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