Individual
LORI JEAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1030
(708) 747-7960
(708) 503-3993
Mailing address
595 WILLIAM R LATHAM SR DR, BOURBONNAIS, IL 60914-2319
(815) 932-8944
(815) 932-9159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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