Buckley, William R

Buckley, William R is an individual health care provider with primary practice located at 180 S Main St , Canton IL 61520-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Buckley, William R can be contacted via phone (309) 647-0201.

Contact Information

Primary practice address
180 S Main St Canton IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 647-9652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0360851714 Illinois

Profile Details

NPI number 1659489250
LBN Legal business name Buckley, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659489250 NPPES
Illinois Other 085171 OSF HEALTHPLANS
Illinois Other 222121 OSF HEALTHPLANS
Illinois Other CG5172 OSF HEALTHPLANS
Illinois Other 02922981 OSF HEALTHPLANS
Illinois Other 0062839 OSF HEALTHPLANS
Illinois Other 200397 OSF HEALTHPLANS
Illinois Other 014155 OSF HEALTHPLANS
Illinois MEDICAID 036085171 OSF HEALTHPLANS
Illinois Other 1942315197 OSF HEALTHPLANS
Illinois Other IL0116 OSF HEALTHPLANS

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