Imlach, William

Imlach, William is an individual health care provider with primary practice located at 4001 Vollmer Rd. , Olympia Fields IL 60461-1073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Imlach, William can be contacted via phone (708) 481-8883.

Contact Information

Primary practice address
4001 Vollmer Rd. Olympia Fields IL 60461-1073
Fax: (708) 481-2917
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036091396 Illinois

Profile Details

NPI number 1699850610
LBN Legal business name Imlach, William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated May 20th, 2022 - about 2 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 1699850610 NPPES
Illinois MEDICAID 036091396

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