Payne, William K

Payne, William K is an individual health care provider with primary practice located at 20201 Crawford Ave Suite 1400, Olympia Fields IL 60461-1010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Payne, William K can be contacted via phone (708) 679-2310.

Contact Information

Primary practice address
20201 Crawford Ave Suite 1400 Olympia Fields IL 60461-1010
Fax: (708) 503-4445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036093997 Illinois

Profile Details

NPI number 1902867328
LBN Legal business name Payne, William K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 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 1902867328 NPPES
Illinois Other L95565 MEDICARE PTAN
Illinois MEDICAID 036093997 MEDICARE PTAN

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