| Michelle D Williams Lcsw Cadc Pc | |
|
3410 W Roosevelt Rd Chicago IL 60624-4343 | |
| (773) 722-8515 | |
| (773) 722-8515 |
| Full Name | Michelle D Williams Lcsw Cadc Pc |
|---|---|
| Speciality | Social Worker |
| Location | 3410 W Roosevelt Rd, Chicago, Illinois |
| Authorized Official Name and Position | Michelle D. Williams (PRESIDENT) |
| Authorized Official Contact | 7737228515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle D Williams Lcsw Cadc Pc 3410 W Roosevelt Rd Chicago IL 60624-4343 Ph: (773) 722-8515 | Michelle D Williams Lcsw Cadc Pc 3410 W Roosevelt Rd Chicago IL 60624-4343 Ph: (773) 722-8515 |
| NPI Number | 1043381387 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 04/04/2012 |
| Medicare PECOS PAC ID | 0143315473 |
|---|---|
| Medicare Enrollment ID | O20071002000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043381387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841361177 PECOS PAC ID: 7719907062 Enrollment ID: I20051201000017 |
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