Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 11019492A | IN |
N | 111NI0900X | Internist | 11019492A | IN |
NPI | 1003346420 |
---|---|
Provider Name | Dr. Joy Williams |
First Address | Lake Forest, IL 60045-1658 |
Second Address | Lake Forest, IL 60045-1658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2017 |
Last Update Date | 06/08/2020 |