LASHUNDA WILLIAMS MD NPI 1629194089

Family Medicine in Peoria, IL

About LASHUNDA WILLIAMS

Lashunda Williams is a provider in Peoria, IL with more than 15 years of experience. The NPI number assigned to this provider is 1629194089. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Lashunda Williams is registered with Medicare and accepts claims assignment.

NPI1629194089 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name LASHUNDA WILLIAMS MD
Provider Location Address3915 BARRING TRCE PEORIA, IL 61615 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1120 E WAR MEMORIAL DR PEORIA HEIGHTS, IL 61616 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year2003
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-21-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-15-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

LASHUNDA WILLIAMS MD
3915 BARRING TRCE
PEORIA, IL
ZIP 61615
Phone: (309) 689-3030
Fax: (309) 689-6280
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Mailing Address

LASHUNDA WILLIAMS MD
1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL
ZIP 61616
Phone: (309) 685-0100
Fax: (309) 685-0172

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.4301088778
License StateMI
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Map Location


LASHUNDA WILLIAMS MD address is 3915 BARRING TRCE PEORIA, IL 61615

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063754158MS. ANETA MONIKA KOWALSKA MD
Individual
Family Medicine3915 BARRING TRCE
PEORIA, IL 61615
1093266108 AMANDA NEUDORF NP
Individual
Nurse Practitioner (Family)3915 BARRING TRCE
PEORIA, IL 61615
(309) 689-3030
1750493805BELCREST SERVICES, LTD
Organization
Clinic/Center3915 BARRING TRCE
PEORIA, IL 61615
(309) 689-3030
1851798920 MANDY BARLOW APN
Individual
Nurse Practitioner3915 BARRING TRCE
PEORIA, IL 61615
(309) 689-3030