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Individual

JOY DELIVERANCE WILLIAMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3863 W FLOURNOY ST, APT. 1W, CHICAGO, IL 60624-3617
(773) 575-4512
Mailing address
PO BOX 440316, CHICAGO, IL 60644-0316
(773) 575-4512

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
1506535
IL
174400000X
Specialist
T72685
IL
246QM0706X
Medical Technologist
Primary
MLS243509
IL

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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