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Reginald Williamson
NPI 1134594369 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12923 S Parnell Ave
Chicago, IL 60628 - Phone
- (773) 405-8996
- Fax
- (773) 468-7918
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois