Williams, Andrea

Williams, Andrea is an individual health care provider with primary practice located at 800 E 55Th St , Chicago IL 60615-4906. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Williams, Andrea can be contacted via phone (773) 834-2580.

Contact Information

Primary practice address
800 E 55Th St Chicago IL 60615-4906
Phone: (773) 834-2580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 164.002406 Illinois

Profile Details

NPI number 1477045763
LBN Legal business name Williams, Andrea
Credentials RD LDN CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2018
Last updated Jun 1st, 2018 - about 6 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 1477045763 NPPES
Other 20020629 CERTIFIED DIABETES EDUCATOR

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