Most Relevant Information
Provider Data
| NPI Number: | 1003677212 |
| Provider Name: | TASHEIA LASHAY WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 209.029070 |
Most Important Dates
| Enumeration Date: | 01/16/2024 |
| Last Updated: | 01/16/2024 |
Provider Practice Location
15303 S 94TH AVE.
SUITE 250
ORLAND PARK
IL
60462
Practice Location Phone/Fax
| Phone: | 6304287890 |
| Fax: |
Provider Mailing Location
1035 BARROW CT.
UNIVERSITY PARK
IL
60484
Provider Mailing Phone/Fax
| Phone: | 7082283300 |
| Fax: |