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General NPI Number Information
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NPI Number | 1508034463
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Entity Type | Organization
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Legal Business Name | GARY L. WILLIAMS DPM PC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 05/12/2025
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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 | 708-429-5950
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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 | 708-429-5950
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY L WILLIAMS
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Credential |
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Telephone | 708-444-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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