Individual
CLARE T WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 687-3418
(618) 687-1859
Mailing address
PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-6860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036111461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111461
—
IL
01
—
10032052
BC BS NUMBER
IL
05
—
370966854002
—
IL
01
—
640701
MEDICARE GROUP ID WPS FFS
IL
01
—
CF3444
MEDICARE RAILROAD GROUP #
IL
01
—
P00215157
MEDICARE RR #
IL
Enumeration date
06/02/2006
Last updated
12/10/2020
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