Carolyn Esther Williams, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

041281100 Issued in IL

Practice address

25212 West Rte 120
WG1-2N
Round Lake, IL 60073

Phone

(847) 270-5071

NPI assigned

Nov 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1083981740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 FAIRPORT DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307917",
            "telephone_number": "847-223-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25212 WEST RTE 120",
            "address_2": "WG1-2N",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "60073",
            "telephone_number": "847-270-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAROLYN",
        "middle_name": "ESTHER",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "IL",
            "license": "041281100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Therapeutics Inc.
• Vladimir Roytman Consulting, Inc.
• Tuyetnga T Vo
• Margaret Sharice Ward
• Sheila Renia White, CADC
• Jeanna Worswick, MOT, OTR/L
• Jeffrey Zachary, CADC
• Katarzyna Zalewska, LPC

• Infusion Therapy Registered Nurse in Round Lake, IL
• Providers in Round Lake, IL by specialty
• Infusion Therapy Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.