MEDICARE: MARIAL 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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1245167923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAL WILLIAMS

Provider Business Mailing Address
First Line	:	101 NILES AVE
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-2950
Country	:	US
Telephone Number	:	224-383-7435
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2600
Country	:	US
Telephone Number	:	773-364-1723
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ MARIAL WILLIAMS ” Practice Location

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