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NPI Code Detail

MEDICARE: NIKOLA S WILLIAMS RN

MEDICARE: NIKOLA S WILLIAMS RN
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
1163WG0000XGeneral Practice Registered Nurse041357120IL
2163W00000XRegistered Nurse041357120IL
3163WM0705XMedical-Surgical Registered Nurse041357120IL

General Provider Information

NPI Number : 1659739738
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKOLA S WILLIAMS RN
Provider Business Mailing Address
First Line : 10 N CEDAR LN
Second Line :
City : GLENWOOD
State : IL
Zip : 60425-1465
Country : US
Telephone Number : 708-653-7693
Fax Number :
Provider Business Practice Location Address
First Line : 7731 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-2412
Country : US
Telephone Number : 773-962-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2016
Last Update Date : 04/16/2026

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