Healthcare Provider Details

I. General information

NPI: 1740733658
Provider Name (Legal Business Name): TAMRA WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 BARRINGTON RD STE 400
HOFFMAN ESTATES IL
60169-2036
US

IV. Provider business mailing address

PO BOX 3603
OAK BROOK IL
60522-3603
US

V. Phone/Fax

Practice location:
  • Phone: 815-947-4463
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209014564
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: