Gary L Williams, D.P.M.
Individual provider Active NPI Foot Surgery Podiatrist · Chicago, IL
NPI 1396711073 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1396711073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- 016004979 (IL)
- Practice address
- 6307 S Stewart Ave Ste 202
Chicago, IL 60621-3116 - Phone
- (708) 444-4114
- Fax
- (708) 403-9229
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13929 Apache LN
Orland Park, IL 60462-1869
326 W 64TH St
Chicago, IL 60621-3114
Phone (708) 444-4114
Hospital & facility affiliations
- Jackson Park Hospital
- St Bernard Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 12 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 239 |
| Removal or shaving of skin growth | 186 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050802000259 | IL | Practitioner - Podiatry | 4587692496 |
Reassigns benefits to 1 organization Practice locations: Wheaton, IL; Orland Park, IL; Hazel Crest, IL; Chicago, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004979 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Gary L. Williams DPM PC | Podiatrist | Current |
Accepting new patients |
| Gary L. Williams DPM PC | Foot Surgery | Current | Accepting new patients |
| Foundation for Outreach Services | Current |
Accepting new patients | |
| Liberty Medical Center Coal City SC | Past | Accepting new patients | |
| Podiatric Management Systems LLC | Past |
Accepting new patients |
Locations
6307 S Stewart Ave
Ste 202
Chicago, IL 60621
Phone (224) 244-6411
6307 S Stewart Ave
Chicago, IL 60621
Phone (773) 776-8800
326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
15614 S Harlem Ave
Ste C
Orland Park, IL 60462
Phone (708) 866-5900
Interoperability endpoints
- gwilliams@direct-address.org
- garywilliams@jph.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004979 | IL | |
| Foot Surgery Podiatrist | 213ES0131X | 016004979 | IL | Yes |
Addresses
Primary practice location
6307 S Stewart Ave Ste 202
Chicago, IL 60621-3116
Mailing address
13929 Apache LN
Orland Park, IL 60462-1869
Phone (708) 444-4114
Other practice location 1
7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7670
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004979 | Medicaid | IL |
Other providers in Chicago, IL
- Fabienne Williams
- Faye Williams
- Fletcher Williams
- Freddie Williams
- Gabrielle Williams
- Grace Williams
- Grace Elizabeth Williams
- Grant Williams
- Gregory Williams
- Guerin T Williams
All providers in Chicago, IL · Foot Surgery Podiatrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.