Williams B. Evans MD SC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036062358 Issued in IL

Legal business name

WILLIAMS B. EVANS MD SC

Practice address

4647 Lincoln Hwy
Matteson, IL 60443-2319

Phone

(708) 418-4200

Fax

(708) 481-3302

NPI assigned

Apr 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William B Evans, MD

Title

President

Phone

(708) 481-4200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1548435159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432319",
            "telephone_number": "708-418-4200",
            "fax_number": "708-481-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432319",
            "telephone_number": "708-418-4200",
            "fax_number": "708-481-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS B. EVANS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-481-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036062358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062348",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A Wiemeyer, MT-BC, NCC
• Wiley Family Health Services, LLC
• Laretta Moniek Wiley, FNP-BC, PMHNP-BC
• William B Evans MD SC
• Williams & Morgan
• Brionna Williams
• Earnesto Williams
• Joaquimia Williams
• Larissa Nichelle Williams
• Latashua Williams

• Nephrology Physician in Matteson, IL
• Providers in Matteson, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.