Provider Demographics
NPI:1447321849
Name:WILLIAMS, DONNA C (DO)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:C
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17601 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-4761
Mailing Address - Country:US
Mailing Address - Phone:708-957-3437
Mailing Address - Fax:708-957-3053
Practice Address - Street 1:9550 W 167TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-5561
Practice Address - Country:US
Practice Address - Phone:708-870-2620
Practice Address - Fax:708-873-5949
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036116955207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine