Individual
MS. MELISSA JEAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-9121
(312) 695-5645
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-9121
(312) 695-5645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041412254
IL
363L00000X
Nurse Practitioner
Primary
209025093
IL
363LF0000X
Family Nurse Practitioner
209025093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041412254
REGISTERED NURSE LICENSE
IL
01
—
209025093
ADVANCED PRACTICE REGISTERED NURSE LICENSE
IL
Enumeration date
04/18/2022
Last updated
05/02/2023
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