PHYLLIS WILLIAMS


Address: 11420 S Saint Lawrence Ave, Chicago, IL 60628-5114
Phone: 7734160970

PHYLLIS WILLIAMS (NPI# 1619349941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619349941
Entity Type Individual
Full Name PHYLLIS WILLIAMS
Practice Address 11420 S Saint Lawrence Ave
Chicago
IL 60628-5114
Mailing Address 7616 S Union Ave
Chicago
IL 60620-2406
Practice Telephone 7734160970
Mailing Telephone 7734160970
Enumeration Date 2015-10-26
Last Update Date 2016-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209012837 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers PHYLLIS WILLIAMS

NPI Name Taxonomy Address Enumeration
1295094753 Phyllis Maria Williams Registered Nurse 53 Bedford Avenue, Truman J. Moon Primary Center - Nurse's Office, Middletown, NY 10940-6498 2012-05-03
1699922716 Phyllis C Williams Registered Nurse 411 W Hudson Ave, Dayton, OH 45406-4833 2008-08-20
1770707085 Phyllis A Williams Social Worker Interfaith Medical Center, Cdos, 1545 Atlantic Ave., Brooklyn, NY 11213-1166 2007-04-11
1982769139 Phyllis A Williams Marriage & Family Therapist 26025 162nd Ave Se, Covington, WA 98042-8275 2006-12-27
1730727942 Phyllis Yevonne Williams Marriage & Family Therapist 2495 W March Ln Ste 125, Stockton, CA 95207-8224 2019-12-18
1164076931 Phyllis Susan Williams Registered Nurse 647 Wall St, Sevierville, TN 37862-5923 2019-07-30
1306345251 Phyllis Lisa Williams Counselor 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 2018-02-06
1528473451 Phyllis Williams Counselor 2800 W Willow St, Lansing, MI 48917-1833 2014-06-30
1245551365 Phyllis Williams Registered Nurse 1203 Maple St, Greensboro, NC 27405-6910 2010-06-14
1285962431 Phyllis S Williams Massage Therapist 16801 Newburgh Rd, Suite 114, Livonia, MI 48154-1606 2009-11-30

Office Location

Street Address 11420 S SAINT LAWRENCE AVE
City CHICAGO
State IL
Zip Code 60628-5114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750857942 Myrna Pledger Counselor 259 W. 104th Pl., Chicago, IL 60628 2018-10-16
1073097184 4every1 Lab Inc. Clinical Medical Laboratory 10723 S Halsted St, Chicago, IL 60628 2018-09-24
1922594613 Northwest Adult Wellness Center LLC Clinic/Center 235 W 95th Suite 3, Chicago, IL 60628 2018-07-05
1285152801 Brittany Bellamy Developmental Therapist 10333 S Prairie, Chicago, IL 60628 2017-09-04
1598293839 Denise Marie Mercherson Social Worker 9561 S. Union, Chicago, IL 60628 2017-05-31
1659821221 Tca Health Care Dentist 1030 E. 130th St, Chicago, IL 60628 2016-10-07
1528432697 Global Dialysis, LLC Registered Nurse 9746 South Harvard Ave., Chicago, IL 60628 2015-11-30
1871966382 Kirby Rehabilitation, Inc Clinic/Center 723 W. 111th St, Chicago, IL 60628 2015-11-05
1851638605 Marketa Marvanova Pharmacist 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 2013-01-14
1841567377 Emma Goodman Pharmacist 10620 S. Halsted St, Chicago, IL 60628 2011-11-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
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Competitor

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City CHICAGO
Zip Code 60628

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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