Active NPI
Donna C Williams, D.O.
- Family Medicine Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036116955
- Practice address
- 9550 W 167TH St
Orland Park, IL 60467-5561 - Phone
- (708) 870-2620
- Fax
- (708) 873-5949
- NPI assigned
- Nov 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036116955 | IL | Primary |
Addresses
Primary practice location
9550 W 167TH St
Orland Park, IL 60467-5561
Mailing address
17601 Willow Ave
Country Club Hills, IL 60478-4761
Phone (708) 957-3437
Other names 1
- Ms. Donna C Harris
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwilliams205886@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicFHIR.aurora.org/fhir/myaurora/api/fhir/dstu2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061127000267 | IL | Practitioner - Family Practice | 9133127251 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17601 Willow
Country Club Hills, IL 60478-4761
701 Lee St
Suite 300
Des Plaines, IL 60016-4572
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036116955 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
9550 W 167th St
Orland Park, IL 60467
Phone (708) 478-7437
Interoperability endpoints
- dwilliams205886@direct.myadvocateaurora.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Christ Medical Group
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1447321849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17601 WILLOW AVE",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604784761",
"telephone_number": "708-957-3437",
"fax_number": "708-957-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 W 167TH ST",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675561",
"telephone_number": "708-870-2620",
"fax_number": "708-873-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DONNA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036116955",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwilliams205886@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9550 W 167th St",
"city": "Orland Park",
"state": "IL",
"country_code": "US",
"postal_code": "604675561",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicFHIR.aurora.org/fhir/myaurora/api/fhir/dstu2/",
"affiliation": "N",
"address_1": "9550 W 167th St",
"city": "Orland Park",
"state": "IL",
"country_code": "US",
"postal_code": "604675561",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DONNA",
"last_name": "HARRIS",
"middle_name": "C",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.