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NPI 1548015647 · Psychiatry Physician · Chicago, IL
Provider details
- NPI number
- 1548015647
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chudney Williams, President(901) 292-1241
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4822 S King Dr Unit 1n
Chicago, IL 60615-1324
Phone: (901) 292-1241
Approximate (ZIP-level) locationGet directions
Mailing address
4822 S King Dr Unit 1n
Chicago, IL 60615-1324
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.