1578720991 NPI number — ASSOCIATED FAMILY PHYSICIANS

Table of content: KATHY ANN WILLIAMS LSW (NPI 1659869428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578720991 NPI number — ASSOCIATED FAMILY PHYSICIANS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSOCIATED FAMILY PHYSICIANS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578720991
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1635 N ARLINGTON HEIGHTS
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
ARLINGTON HEIGHTS
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-392-1500
Provider Business Mailing Address Fax Number:
847-392-9706

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1635 N ARLINGTON HEIGHTS
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
ARLINGTON HEIGHTS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-392-1500
Provider Business Practice Location Address Fax Number:
847-392-9706
Provider Enumeration Date:
05/22/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GONZALEZ
Authorized Official First Name:
RAMON
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
847-392-1500

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)