Phyllis Williams

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209012837 Issued in IL

Practice address

11420 S Saint Lawrence Ave
Chicago, IL 60628-5114

Phone

(773) 416-0970

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1619349941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 S UNION AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202406",
            "telephone_number": "773-416-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 S SAINT LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606285114",
            "telephone_number": "773-416-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PHYLLIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela K. Williams, MS, L.C.P.C
• Pathia M Williams, PH.D.
• Patricia Williams
• Patricia Clothilde Williams
• Paula Williams
• Rachel Williams
• Raiven Williams, FNP
• Ray Williams, MMP
• Rebecca Jo Williams, LCSW
• Regina Nathania Williams

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.