Healthcare Provider Details

I. General information

NPI: 1811307101
Provider Name (Legal Business Name): CHRISTOPHER WILLIAMS RP.H
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E COLLEGE AVE
NORMAL IL
61761-4577
US

IV. Provider business mailing address

1900 E COLLEGE AVE
NORMAL IL
61761-4577
US

V. Phone/Fax

Practice location:
  • Phone: 309-888-0810
  • Fax: 309-888-0865
Mailing address:
  • Phone: 309-888-0810
  • Fax: 309-888-0865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number051290312
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: