KIMBERLY A WILLIAMS (NPI# 1790736601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790736601 |
| Entity Type | Individual |
| Full Name | KIMBERLY A WILLIAMS |
| Credential | M.D. |
| Practice Address |
1100 W Cermak Rd Suite C119 Chicago IL 60608-4500 |
| Practice Telephone | 3122432223 |
| Practice Fax Number | 3122432227 |
| Mailing Telephone | 3122432223 |
| Mailing Fax Number | 3122432227 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036096903 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396380580 | Kimberly Williams | Home Health | 5863 Cabanne Ave, Saint Louis, MO 63112-2410 | 2019-11-11 |
| 1902468465 | Kimberly Williams | Driver | 132 Sanderling Ave, Sandston, VA 23150-1000 | 2019-07-05 |
| 1942860309 | Kimberly Williams | Licensed Vocational Nurse | 19780 Atascocita Shores Dr Apt 931, Humble, TX 77346-2933 | 2019-06-18 |
| 1679133367 | Kimberly Sylvia Williams | Student in an Organized Health Care Education/Training Program | 9120 W Hampton Ave Ste 90, Milwaukee, WI 53225-4960 | 2019-06-16 |
| 1912463456 | Kimberly S Williams | Nurse Practitioner | 4565 Riverwood Cir, Decatur, GA 30035-2935 | 2019-02-20 |
| 1083199673 | Kimberly Sue Williams | Peer Specialist | 4913 W Lamar Ave, Spokane, WA 99208-9131 | 2018-09-28 |
| 1164932067 | Kimberly Williams | Licensed Practical Nurse | 1972 New Scotland Rd # 1012, Slingerlands, NY 12159-3629 | 2017-10-05 |
| 1881055036 | Kimberly Williams | Student in an Organized Health Care Education/Training Program | 107 36th St Ne, Washington, DC 20019-2602 | 2016-03-16 |
| 1518347335 | Kimberly Ann Williams | Social Worker | 6719 Gabrielle Pt, Whitsett, NC 27377-9808 | 2015-06-06 |
| 1376942151 | Kimberly Sheena Williams | Counselor | 55 N Arbor Trl, Apt. 501, Park Forest, IL 60466-2659 | 2014-08-18 |
| Street Address |
1100 W CERMAK RD SUITE C119 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388633 | James Peek | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2019-10-18 |
| 1306363445 | Willie Hall | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-08-29 |
| 1376063628 | Vanessa Robinson Wilkes | Counselor | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-06-27 |
| 1568982809 | Andre D Newsome | Clinic/Center | 1100 W Cermak Rd, Chicago, IL 60608-4500 | 2017-06-27 |
| 1821535618 | Westcare Illinois, Inc | Clinic/Center | 1100 W Cermak Rd, Suite B414, Chicago, IL 60608-4500 | 2017-01-31 |
| 1518400308 | Crystal Smith | Nurse Practitioner | 1100 W Cermak Rd, Ste. C-119, Chicago, IL 60608-4500 | 2016-11-28 |
| 1013310382 | Umeko Jones | Nurse Practitioner | 1100 W Cermak Rd, Suite C119, Chicago, IL 60608-4500 | 2014-10-01 |
| 1144568072 | Housecall Physicians of Illinois | Nurse Practitioner | 1100 W Cermak Rd, Suite C-500, Chicago, IL 60608-4500 | 2013-01-28 |
| 1194008425 | Kenyatta Evans-snulligan | Clinical Nurse Specialist | 1100 W Cermak Rd, Cuite C119, Chicago, IL 60608-4500 | 2011-09-22 |
| 1669517504 | Jose L Jimenez | Psychologist | 1100 W Cermak Rd, Suite B-305 Unit 1, Chicago, IL 60608-4500 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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| 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.