Williams, Deandre Ramon

Williams, Deandre Ramon is an individual health care provider with primary practice located at 2160 S First Ave , Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Williams, Deandre Ramon can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S First Ave Maywood IL 60153
Phone: (708) 216-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036117328 Illinois

Profile Details

NPI number 1457312373
LBN Legal business name Williams, Deandre Ramon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 5th, 2019 - about 5 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 1457312373 NPPES
Pennsylvania Other 1531384 HIGHMARK BS
Pennsylvania MEDICAID 1008194480001 HIGHMARK BS
Pennsylvania Other 2216927000 HIGHMARK BS

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