Walter R. Williams, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-048928 Issued in IL

Practice address

40 Smoke Tree Rd
Hillsboro, IL 62049-2104

Phone

(217) 532-3534

NPI assigned

Aug 17, 2021

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447926860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SMOKE TREE RD",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620492104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SMOKE TREE RD",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620492104",
            "telephone_number": "217-532-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WALTER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-048928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Weiss, LCPC
• Samantha Welker
• Bart Allison Wetzel, CRNA
• Sarah Elizabeth White, FNP-BC
• Christopher David Whitten, MPT, ATC
• Katie Wollerman
• Michele Womontree, PSY.D.
• Jill Wright, M.A.,C.A.D.C.,L.P.C.
• Jensine P Wyant, LSW
• Brandi Almedia Young, LSW

• Family Medicine Physician in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.