Most Relevant Information
Provider Data
| NPI Number: | 1003598681 |
| Provider Name: | CALISA WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2023 |
| Last Updated: | 08/03/2023 |
Provider Practice Location
7600 W. ROOSEVELT RD
LOWER LEVEL #172
FOREST PARK
IL
601302273
Practice Location Phone/Fax
| Phone: | 3123882909 |
| Fax: |
Provider Mailing Location
7600 W. ROOSEVELT RD
LOWER LEVEL #172
FOREST PARK
IL
601302273
Provider Mailing Phone/Fax
| Phone: | 3123882909 |
| Fax: |