Healthcare Provider Details

I. General information

NPI: 1225710973
Provider Name (Legal Business Name): RAYA WILLIAMS DC, LCPM, LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 CHICAGO RD FL 1
OSWEGO IL
60543-9461
US

IV. Provider business mailing address

405 FRANKFORT AVE
OSWEGO IL
60543-7756
US

V. Phone/Fax

Practice location:
  • Phone: 312-656-1109
  • Fax:
Mailing address:
  • Phone: 312-656-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.014389
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number522-49
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCPM0019
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number295.000024
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: