Minore, William Stephen
Minore, William Stephen is an individual health care provider with primary practice located at 1235 N Mulford Rd Ste 222 , Rockford IL 61107-3879. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Minore, William Stephen can be contacted via phone (815) 397-8400.Contact Information
Primary practice address
1235 N Mulford Rd Ste 222
Rockford IL 61107-3879
Phone: (815) 397-8400
Fax: (815) 229-0050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-075603 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036.075603 | Illinois |
Profile Details
| NPI number | 1104859107 |
|---|---|
| LBN Legal business name | Minore, William Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 17th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104859107 | NPPES |
| Illinois | MEDICAID | 036075603 | |
| Illinois | Other | 027274 |
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