Greathouse-Williams, Deirdra

Greathouse-Williams, Deirdra is an individual health care provider with primary practice located at 1890 Silver Cross Blvd Suite 570, New Lenox IL 60451-9524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Greathouse-Williams, Deirdra can be contacted via phone (815) 463-3700.

Contact Information

Primary practice address
1890 Silver Cross Blvd Suite 570 New Lenox IL 60451-9524
Fax: (815) 463-3701
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01061341A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036114405 Illinois

Profile Details

NPI number 1871549238
LBN Legal business name Greathouse-Williams, Deirdra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Feb 28th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871549238 NPPES
Illinois MEDICAID 036114405

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