Cory R Williams, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277002326 Issued in IL

Practice address

9415 S Western Ave # 206
Chicago, IL 60643-6700

Phone

(844) 425-9777

Fax

(844) 715-1618

NPI assigned

Oct 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Mental Health LTDGroup PAC ID 6204378714, 10 clinicians

219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matrix Mental Health LTD

  • Psychiatry Physician
  • Joliet, IL
  • NPI 1467212860
  Medicare reassignment Care Compare group NPD
• 219 Health Network Inc

  • Family Medicine Physician
  • East Chicago, IN
  • NPI 1093213506
  Medicare reassignment Care Compare group NPD
• Blysss Behavioral Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1932945243
  Medicare reassignment NPD
• Hospitalist Physicians of Indiana, PC

  • Hospitalist Physician
  • Fort Wayne, IN
  • NPI 1306576277
  Medicare reassignment NPD
• Premier Suburban Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Orland Park, IL
  • NPI 1902412950
  Medicare reassignment
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Munster, IN
  • NPI 1417811738
  NPD
• Pure Health Center, Inc

  • Professional Counselor
  • Chicago, IL
  • NPI 1821538752
  NPD (past)
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Munster, IN
  • NPI 1871257212

  Psychiatric/Mental Health

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munster Medical Research Foundation Inc

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1770125908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W SUNSET DR APT 613",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251159",
            "telephone_number": "708-941-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 S WESTERN AVE # 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436700",
            "telephone_number": "844-425-9777",
            "fax_number": "844-715-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CORY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002326",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "28231903A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Lauren Williams
• Claude E Williams, D.C.
• Cody James Williams, MD
• Connor Williams, LCSW
• Corinne Williams, PA-C
• Crystal Williams, MSW, LSW, LCSW
• Crystal Y. Williams, LCPC
• Dalton Williams
• Dan Luther Williams II, LCSW
• Dana Jean Williams

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.