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NPI Code Detail

MEDICARE: KELSEY WILLIAMS

MEDICARE: KELSEY 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
1235Z00000XSpeech-Language Pathologist242003759IL

General Provider Information

NPI Number : 1134573876
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY WILLIAMS
Provider Business Mailing Address
First Line : 4021 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-4771
Country : US
Telephone Number : 773-328-5544
Fax Number :
Provider Business Practice Location Address
First Line : 4021 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-4771
Country : US
Telephone Number : 773-328-5544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2016
Last Update Date : 04/19/2016

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Directions to “ KELSEY 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.

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