Tennia Williams

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

8132 S Kedzie Ave
Chicago, IL 60652-2605

Phone

(773) 779-1310

NPI assigned

Feb 1, 2022

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

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1174276018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 W 89TH PL",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051305",
            "telephone_number": "708-955-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606522605",
            "telephone_number": "773-779-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TENNIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shellie Williams
• Shelly Williams, LCPC
• Sydni Iman Williams
• Tajanai Williams
• Takayla Williams, DO TAKAYLA WILLIAMS
• Tennille Williams
• Tequila L Williams
• Thomas Sean Williams, DC
• Tierra Williams
• Tiffany Williams

• Prosthetic/Orthotic Supplier in Chicago, IL
• Providers in Chicago, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.