Duffy, William Brian

Duffy, William Brian is an individual health care provider with primary practice located at 1101 S Canal St , Chicago IL 60607-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Duffy, William Brian can be contacted via phone (312) 986-0110.

Contact Information

Primary practice address
1101 S Canal St Chicago IL 60607-4901
Phone: (312) 986-0110
Fax: (312) 663-1010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036057381 Illinois

Profile Details

NPI number 1568448363
LBN Legal business name Duffy, William Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 3rd, 2012 - about 13 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 1568448363 NPPES
Illinois MEDICAID 036057381
Illinois Other 01621679

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