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
Phone: (815) 463-3700
Fax: (815) 463-3701
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871549238 | NPPES |
Illinois | MEDICAID | 036114405 |
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