MEDICARE: CALISA WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1003598681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALISA WILLIAMS

Provider Business Mailing Address
First Line	:	7600 W. ROOSEVELT RD
Second Line	:	LOWER LEVEL #172
City	:	FOREST PARK
State	:	IL
Zip	:	60130-2273
Country	:	US
Telephone Number	:	312-388-2909
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 W. ROOSEVELT RD
Second Line	:	LOWER LEVEL #172
City	:	FOREST PARK
State	:	IL
Zip	:	60130-2273
Country	:	US
Telephone Number	:	312-388-2909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2023
Last Update Date	:	08/03/2023

Similar Medicare Providers

1003047937 — JAYREESE TRANSPORTATION SERVICE
Practice Location Address:

7600 ROOSEVELT RD
FOREST PARK, IL
60130-2273

Practice Phone: 773-957-8862
Practice Fax: 708-771-0017

1376730598 — ENHANCED LIVING DESIGN
Practice Location Address:

27 SPECTRUM POINTE DR , SUITE 306
LAKE FOREST, CA
92630-2273

Practice Phone: 800-598-9181
Practice Fax:

1881246932 — MONICA BELL STUDENT
Practice Location Address:

884 W PARK AVE
PORT TOWNSEND, WA
98368-2273

Practice Phone: 360-385-0321
Practice Fax: 360-385-3944

1386618254 — MRS. DONETTE BOYETT LCSW-A
Practice Location Address:

884 W PARK AVE
PORT TOWNSEND, WA
98368-2273

Practice Phone: 360-385-0321
Practice Fax: 360-385-3944

1528001427 — SAGEBROOK HEALTH CENTER INC
Practice Location Address:

901 DISCOVERY BLVD
CEDAR PARK, TX
78613-2273

Practice Phone: 512-259-9993
Practice Fax: 512-259-8262

1578584298 — JULIA F MOORE M.D.
Practice Location Address:

884 W PARK AVE
PORT TOWNSEND, WA
98368-2273

Practice Phone: 360-385-0321
Practice Fax: 360-379-5534

Directions to “ CALISA WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.