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General NPI Number Information
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NPI Number | 1497629554
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Entity Type | Individual
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Provider Name | KRISTOFER WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1020 W ALGONQUIN RD
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-3500
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Country | US
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Telephone | 847-658-8233
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W PRAIRIEFIELD AVE
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City | CORTLAND
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State | IL
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Zip | 60112-4143
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Country | US
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Telephone |
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Fax |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 060241668
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License Number State | IL
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