Organization
WILLIAM J. HANSHAW, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J HANSHAW M.D. (PHYSICIAN)
(217) 228-0090
Entity
Organization
Contact information
Practice address
903 VERMONT ST, QUINCY, IL 62301-3049
(217) 228-0090
(217) 228-9464
Mailing address
903 VERMONT ST, QUINCY, IL 62301-3049
(217) 228-0090
(217) 228-9464
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100272
BLUE CROSS BLUE SHIELD ID
IL
01
—
104600
HEALTHLINK
IL
Enumeration date
05/11/2007
Last updated
01/18/2008
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