Active NPI
Beatrice Williams
- Driver
- Flossmoor, IL
National Provider Identifier
1760270623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- W45207087823
- Practice address
- 19710 Governors Hwy Ste 5-1150
Flossmoor, IL 60422-2080 - Phone
- (217) 645-6685
- Fax
- (217) 775-0590
- NPI assigned
- Apr 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | W45207087823 | IL | Primary |
Addresses
Primary practice location
19710 Governors Hwy Ste 5-1150
Flossmoor, IL 60422-2080
Mailing address
62 S Arbor TRL
Park Forest, IL 60466-2606
Phone (217) 645-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W45207087823 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1760270623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 S ARBOR TRL",
"city": "PARK FOREST",
"state": "IL",
"postal_code": "604662606",
"telephone_number": "217-645-6685",
"fax_number": "217-775-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19710 GOVERNORS HWY STE 5-1150",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222080",
"telephone_number": "217-645-6685",
"fax_number": "217-775-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BEATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-29",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "W45207087823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.