Provider Demographics
NPI:1275980195
Name:WILLIAMS, MARGARET (CERTIFIED NURSE ASSI)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CERTIFIED NURSE ASSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 S ROCKWELL ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-2037
Mailing Address - Country:US
Mailing Address - Phone:773-557-2725
Mailing Address - Fax:
Practice Address - Street 1:7311 S ROCKWELL ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-2037
Practice Address - Country:US
Practice Address - Phone:773-557-2725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WINA306128376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide