Williams, Regina

Williams, Regina is an individual health care provider with primary practice located at 199 W Rand Rd , Mount Prospect IL 60056-1151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Regina can be contacted via phone (847) 618-5400.

Contact Information

Primary practice address
199 W Rand Rd Mount Prospect IL 60056-1151
Phone: (847) 618-5400
Fax: (847) 618-3709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1026417 Illinois

Profile Details

NPI number 1346228822
LBN Legal business name Williams, Regina
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated May 11th, 2021 - about 4 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 1346228822 NPPES
Illinois Other 085000591 STATE LICENSE

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