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General NPI Number Information
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NPI Number | 1396711073
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Entity Type | Individual
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Provider Name | GARY L WILLIAMS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 6307 S STEWART AVE STE 202
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City | CHICAGO
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State | IL
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Zip | 60621-3116
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Country | US
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Telephone | 708-444-4114
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Fax | 708-403-9229
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Provider Business Mailing Address
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Address Line | 13929 APACHE LN
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City | ORLAND PARK
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State | IL
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Zip | 60462-1869
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Country | US
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Telephone | 708-444-4114
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Fax | 708-403-9229
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016004979
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 016004979
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License Number State | IL
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