Individual
DR. JORDAN NATHANIEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6735 W 95TH ST, OAK LAWN, IL 60453-2112
(708) 598-0717
Mailing address
534 ELGIN AVE APT 2, FOREST PARK, IL 60130-1923
(217) 836-8467
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019027701
IL
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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