Small, William
Small, William is an individual health care provider with primary practice located at 251 E Huron St Galter Pavillion, Chicago IL 60611-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Small, William can be contacted via phone (312) 926-2520.Contact Information
Primary practice address
251 E Huron St Galter Pavillion
Chicago IL 60611-2908
Phone: (312) 926-2520
Fax: (312) 926-6524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036084648 | Illinois |
Profile Details
| NPI number | 1336115013 |
|---|---|
| LBN Legal business name | Small, William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jun 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336115013 | NPPES |
| Illinois | MEDICAID | 036084648 |
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