Provider Demographics
NPI:1407143654
Name:WILLIAMS, FABIENNE (DNP,APN, PMHCNS-BC)
Entity Type:Individual
Prefix:DR
First Name:FABIENNE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DNP,APN, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N SHERIDAN RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6156
Mailing Address - Country:US
Mailing Address - Phone:773-472-2720
Mailing Address - Fax:773-472-1489
Practice Address - Street 1:2800 N SHERIDAN RD
Practice Address - Street 2:SUITE 502
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6156
Practice Address - Country:US
Practice Address - Phone:773-472-2720
Practice Address - Fax:773-472-1489
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008513163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult