Will, William
Will, William is an individual health care provider with primary practice located at 17148 Harlem Ave , Tinley Park IL 60477-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Will, William can be contacted via phone (708) 429-1200.Contact Information
Primary practice address
17148 Harlem Ave
Tinley Park IL 60477-3370
Phone: (708) 429-1200
Fax: (708) 429-4845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036076487 | Illinois |
Profile Details
| NPI number | 1568471860 |
|---|---|
| LBN Legal business name | Will, William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Aug 31st, 2023 - about last year |
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 | 1568471860 | NPPES |
| Illinois | MEDICAID | 036076487 |
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