Active NPI
Ira Lee Williams
- Private Vehicle
- Oak Lawn, IL
National Provider Identifier
1275166514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- W45241279266
- Practice address
- 9801 S Karlov Ave Apt 203
Oak Lawn, IL 60453-3443 - Phone
- (773) 593-5805
- NPI assigned
- Feb 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | W45241279266 | Primary |
Addresses
Primary practice location
9801 S Karlov Ave Apt 203
Oak Lawn, IL 60453-3443
Mailing address
9801 S Karlov Ave Apt 203
Oak Lawn, IL 60453-3443
Phone (773) 593-5805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1275166514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 S KARLOV AVE APT 203",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533443",
"telephone_number": "773-593-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 S KARLOV AVE APT 203",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533443",
"telephone_number": "773-593-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "IRA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": "W45241279266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.