Healthcare Provider Details

I. General information

NPI: 1609726983
Provider Name (Legal Business Name): SARAH L WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 WESTERN AVE STE 100
BLUE ISLAND IL
60406-1399
US

IV. Provider business mailing address

2803 MISTY BROOK LN
JOLIET IL
60432-0752
US

V. Phone/Fax

Practice location:
  • Phone: 708-631-2781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209034596
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: