Williams, James Bertram
Williams, James Bertram is an individual health care provider with primary practice located at 2420 W Nebraska Ave , Peoria IL 61604-3112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Williams, James Bertram can be contacted via phone (309) 680-5000.Contact Information
Primary practice address
2420 W Nebraska Ave
Peoria IL 61604-3112
Phone: (309) 680-5000
Fax: (309) 680-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036099138 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036099138 | Illinois |
Profile Details
| NPI number | 1265433882 |
|---|---|
| LBN Legal business name | Williams, James Bertram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Jun 28th, 2011 - about 14 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 | 1265433882 | NPPES |
| Illinois | Other | P00059260 | RETIRED RAILROAD MEDICARE |
| Illinois | MEDICAID | 036099138 | RETIRED RAILROAD MEDICARE |
| Illinois | Other | IL0101/010794248-01 | RETIRED RAILROAD MEDICARE |
| Illinois | Other | 7232062 | RETIRED RAILROAD MEDICARE |
Popular Providers
-
Siebert, Paul A
1001 Main St Suite 300, Peoria IL 61606-1907 -
Gibbs, Elmer Rickey
49 Cleveland St 310 , Crossville TN 38555-2854 -
Salenger, Rawn
7505 Osler Dr , Towson MD 21204-7736 -
Caldeira, Christiano C
1345 W Bay Dr Ste 301 , Largo FL 33770-2264 -
Anderson, Richard
1001 Main Street 3Rd Floor, Peoria IL 61606-2037 -
Spowart, Gregory Scott
23845 Holman Hwy Ste 220, Monterey CA 93940-5900 -
Moazzam, Farnaz Nani
1001 Main St Suite 300, Peoria IL 61606-1907 -
Rachwal, William J
2109 Hughes Dr Ste 720, Toledo OH 43606-5110