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General NPI Number Information
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NPI Number | 1326080144
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Entity Type | Individual
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Provider Name | KENYA M WILLIAMS MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 1725 W HARRISON ST SUITE 910
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City | CHICAGO
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State | IL
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Zip | 60612-3841
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Country | US
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Telephone | 312-563-9060
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Fax | 312-942-4437
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Provider Business Mailing Address
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Address Line | 1725 W HARRISON ST SUITE 910
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City | CHICAGO
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State | IL
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Zip | 60612-3841
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Country | US
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Telephone | 312-563-9060
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Fax | 312-942-4437
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036.118717
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 036118717
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License Number State | IL
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