Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | $$$$$$$$$ | IL |
NPI | 1023089893 |
---|---|
Provider Name | Sybilann Williams |
First Address | Zion, IL 60099-2676 |
Second Address | Chicago, IL 60674-0023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 26/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E81419 | (02) | IL |