Individual
KIMBERLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2555 S KING DR, CHICAGO, IL 60616-2419
(708) 705-0406
Mailing address
2555 S KING DR, CHICAGO, IL 60616-2419
(708) 705-0406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-003787
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-265451
RN LICENSE
IL
01
—
209-003787
APN LICENSE
IL
Enumeration date
05/19/2006
Last updated
12/12/2017
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