Williams, Robert Tracy

Williams, Robert Tracy is an individual health care provider with primary practice located at 2160 S First Ave (Luh-North Ent., Rm. 2601), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Williams, Robert Tracy can be contacted via phone (708) 216-3408.

Contact Information

Primary practice address
2160 S First Ave (Luh-North Ent., Rm. 2601) Maywood IL 60153
Phone: (708) 216-3408
Fax: (708) 216-3557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 46007266 Illinois

Profile Details

NPI number 1528032430
LBN Legal business name Williams, Robert Tracy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 16th, 2021 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528032430 NPPES
Illinois MEDICAID 46007266

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