Active NPI
Jamila Chiandrika Williams
- Public Health & General Preventive Medicine Physician
- Chicago, IL
National Provider Identifier
1407021629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 0920-91580
- Practice address
- 3450 S Archer Ave
Chicago, IL 60608-6837 - Phone
- (404) 245-2141
- NPI assigned
- Apr 29, 2008
- Last updated
- May 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-116883 | IL | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0920-91580 | GA | Primary |
Addresses
Primary practice location
3450 S Archer Ave
Chicago, IL 60608-6837
Mailing address
3450 S Archer Ave
Chicago, IL 60608-6837
Phone (404) 245-2141
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0920-91580 | GA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1407021629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606086837",
"telephone_number": "404-245-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606086837",
"telephone_number": "404-245-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMILA",
"middle_name": "CHIANDRIKA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-116883",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "GA",
"license": "0920-91580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.