Active NPI
Dr. Joshua a. Williams, LLC
- Psychiatry Physician
- Northbrook, IL
National Provider Identifier
1649620188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036140532
- Legal business name
- DR. JOSHUA A. WILLIAMS, LLC
- Practice address
- 60 Revere Dr
Suite 100
Northbrook, IL 60062-1563 - Phone
- (224) 306-1879
- Fax
- (847) 513-9947
- NPI assigned
- Jun 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua A. Williams, MD
- Title
- Owner / President
- Phone
- (224) 306-1879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036140532 | IL | Primary |
Addresses
Primary practice location
60 Revere Dr
Suite 100
Northbrook, IL 60062-1563
Mailing address
60 Revere Dr
Suite 100
Northbrook, IL 60062-1563
Phone (224) 306-1879
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465948800000",
"number": "1649620188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 REVERE DR",
"address_2": "SUITE 100",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621563",
"telephone_number": "224-306-1879",
"fax_number": "847-513-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 REVERE DR",
"address_2": "SUITE 100",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621563",
"telephone_number": "224-306-1879",
"fax_number": "847-513-9947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JOSHUA A. WILLIAMS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "224-306-1879",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036140532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.