Williams, Sherry Michele

Williams, Sherry Michele is an individual health care provider with primary practice located at 3303 Logan Dr , Herrin IL 62948-3732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Williams, Sherry Michele can be contacted via phone (618) 998-8920.

Contact Information

Primary practice address
3303 Logan Dr Herrin IL 62948-3732
Phone: (618) 998-8920
Fax: (618) 998-8923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 036124731 Illinois

Profile Details

NPI number 1104137140
LBN Legal business name Williams, Sherry Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Jan 10th, 2022 - about 3 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 1104137140 NPPES
Illinois MEDICAID 036124731
Illinois Other 640701
Illinois MEDICAID 370966854002
Illinois Other CF3444

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