Individual
DR. DEIRDRA GREATHOUSE-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1890 SILVER CROSS BLVD, SUITE 570, NEW LENOX, IL 60451-9524
(815) 463-3700
(815) 463-3701
Mailing address
1890 SILVER CROSS BLVD, SUITE 570, NEW LENOX, IL 60451-9524
(815) 463-3700
(815) 463-3701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01061341A
IN
207Q00000X
Family Medicine Physician
Primary
036114405
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114405
—
IL
Enumeration date
05/26/2006
Last updated
02/28/2013
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