Provider Demographics
NPI:1841273489
Name:WILLIAMS, CLAUDE E (DC)
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6715 N DRAKE AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3707
Mailing Address - Country:US
Mailing Address - Phone:773-539-7400
Mailing Address - Fax:773-604-4446
Practice Address - Street 1:6262 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-2235
Practice Address - Country:US
Practice Address - Phone:773-539-7400
Practice Address - Fax:773-604-4446
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU24164Medicare UPIN
IL957970Medicare ID - Type Unspecified