Chadwick, William A

Chadwick, William A is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 240 , Belleville IL 62226-5363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chadwick, William A can be contacted via phone (618) 234-2390.

Contact Information

Primary practice address
4600 Memorial Dr Ste 240 Belleville IL 62226-5363
Phone: (618) 234-2390
Fax: (618) 234-9936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-082912 Illinois

Profile Details

NPI number 1568454775
LBN Legal business name Chadwick, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 12th, 2021 - about 3 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 1568454775 NPPES
Illinois MEDICAID 1568454775

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