Provider Demographics
NPI:1144501172
Name:WILLIAMS WOOD, TREASYRI (SLPD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:TREASYRI
Middle Name:
Last Name:WILLIAMS WOOD
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4919 S VINCENNES AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-3200
Mailing Address - Country:US
Mailing Address - Phone:248-747-1132
Mailing Address - Fax:
Practice Address - Street 1:80 E PERSHING RD STE 101
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-1531
Practice Address - Country:US
Practice Address - Phone:248-747-1132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-03
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007377235Z00000X
IL146013575235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist