Individual provider · Type 1 NPI

Reginald Lamont Williamson

Driver · Chicago, IL

NPI number 1134594369 Active

Practice location

12923 S Parnell Ave
Chicago, IL 60628-7442

Call (773) 405-8996 Map

Fax (773) 468-7918

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XW45273274015 (IL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1134594369

Reginald Lamont Williamson's National Provider Identifier is 1134594369, issued on Dec 14, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 14, 2015.