Healthcare Provider Details

I. General information

NPI: 1003346420
Provider Name (Legal Business Name): JOY WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 W 17TH ST UNIT 308
CHICAGO IL
60608-1825
US

IV. Provider business mailing address

2012 W 17TH ST UNIT 308
CHICAGO IL
60608-1825
US

V. Phone/Fax

Practice location:
  • Phone: 773-744-9406
  • Fax:
Mailing address:
  • Phone: 773-744-9406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11019492A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number01094753A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036152501
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: