KM Williams MD SC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

038.118717 Issued in IL

Legal business name

KM WILLIAMS MD SC

Practice address

1725 W Harrison St
Ste 910
Chicago, IL 60612-3841

Phone

(312) 622-7320

NPI assigned

Apr 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenya M Williams, MDNPI 1326080144

Title

President

Phone

(312) 622-7320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenya M Williams, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Chicago, IL
  • NPI 1326080144
  Medicare reassignment NPD Authorized official
• Hreem Neel Patel, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1982999058
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1003340415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 S ELLIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "STE 910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-622-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM WILLIAMS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-622-7320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "IL",
            "license": "038.118717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Kluss, M.S., OTR/L
• Klutch & Well LLC
• Krzysztof Kluzowski
• Deborah Klyczek, OTR/L
• KM Surgical, P.C.
• Omar Kmala
• Kmetko & Associates, LTD.
• KMH Counseling and Consulting
• Magdalena Kmiecik, LSW
• Michele Knabe, D.D.S

• Ophthalmologic Surgery Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmologic Surgery Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.