Williams, Amanda J

Williams, Amanda J is an individual health care provider with primary practice located at 1000 N Westmoreland Rd # Level1 , Lake Forest IL 60045-1658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Amanda J can be contacted via phone (847) 582-2134.

Contact Information

Primary practice address
1000 N Westmoreland Rd # Level1 Lake Forest IL 60045-1658
Phone: (847) 582-2134
Fax: (847) 535-7285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006509 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005099 Illinois

Profile Details

NPI number 1629321914
LBN Legal business name Williams, Amanda J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2012
Last updated Oct 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629321914 NPPES
Michigan MEDICAID 1629321914

Popular Providers