Provider Demographics
NPI:1134365828
Name:WILLIAMS AND WALN, PC
Entity type:Organization
Organization Name:WILLIAMS AND WALN, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:WALN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-876-3812
Mailing Address - Street 1:850 MEADOWVIEW XING STE 1B
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-2576
Mailing Address - Country:US
Mailing Address - Phone:630-876-3812
Mailing Address - Fax:
Practice Address - Street 1:850 MEADOWVIEW XING STE 1B
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-2576
Practice Address - Country:US
Practice Address - Phone:630-876-3812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty