| Paris Williams, | |
|
220 E 142nd Pl, Dolton, IL 60419-1114 | |
| (309) 323-4117 | |
| Not Available |
| Full Name | Paris Williams |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 220 E 142nd Pl, Dolton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265145643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW018965 (Pennsylvania) | Primary |
| Entity Name | Revolution Ptwl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164766606 PECOS PAC ID: 7719115617 Enrollment ID: O20140123001222 |
| Entity Name | Eaves Health Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639847551 PECOS PAC ID: 2466844220 Enrollment ID: O20220128000341 |
| Mailing Address | Practice Location Address |
|---|---|
| Paris Williams, 220 E 142nd Pl, Dolton, IL 60419-1114 Ph: () - | Paris Williams, 220 E 142nd Pl, Dolton, IL 60419-1114 Ph: (309) 323-4117 |
Mr. Nathaniel Brown, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14818 Martin Luther King Jr Dr, Dolton, IL 60419 Phone: 847-244-4434 | |
Kristian Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14409 Dante Ave, Dolton, IL 60419 Phone: 708-262-4655 | |
Mr. Shaune Douglas Freeman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14741 Clark St, Dolton, IL 60419 Phone: 708-310-9226 | |
Mrs. Yazmine Nicole Howard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 234 W 148th Pl, Dolton, IL 60419 Phone: 773-875-9916 | |
Jonetta A Clark, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Kasten Dr, Dolton, IL 60419 Phone: 773-679-0235 |