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Lauren Elyce Williams

Surgery

Allopathic & Osteopathic Physicians

1650 W Harrison St, Chicago, IL 60612-3800

PECOS Enrollment

This provider is enrolled in PECOS as LAUREN WILLIAMS.

Based on the most recent information from CMS, provider Lauren Elyce Williams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1912436551
Provider Type
Individual
Full Name
Williams, Lauren Elyce
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/7/2017
Last Updated
6/7/2017

Contact Information

Practice Location

1650 W Harrison St, Chicago, IL 60612-3800

(312) 942-5495

Unlisted Fax

Mailing Location

1524 S Sangamon St Unit 515, Chicago, IL 60608-2268

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125070694 Illinois

Lauren Elyce Williams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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