Healthcare Provider Details

I. General information

NPI: 1477669596
Provider Name (Legal Business Name): CHERYLE F WILLIAMS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LEFEVRE RD
STERLING IL
61081-1279
US

IV. Provider business mailing address

1930 S MAIN ST
PRINCETON IL
61356-2600
US

V. Phone/Fax

Practice location:
  • Phone: 815-625-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1205
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209004656
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: