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Individual
DR. WILLIAM EDWARD MOREDOCK
Active
Individual
DR. WILLIAM EDWARD MOREDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.003906
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08406629
BCBSIL
IL
01
—
11443979
CAQH
IL
01
—
174554000
MAGELLAN
IL
01
—
255240
HEALTHLINK
IL
Enumeration date
11/06/2006
Last updated
07/01/2013
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