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Individual

DR. WILLIAM R. STORINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1170 E BELVIDERE RD, STE 202, GRAYSLAKE, IL 60030-2076
(847) 566-8580
(847) 566-2818
Mailing address
1170 E BELVIDERE RD, STE 202, GRAYSLAKE, IL 60030-2076
(847) 566-8580
(847) 566-2818

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016-004694
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016-05176
BLUE CROSS BLUE SHIELD
IL
05
016004694
IL
01
3418679001
CIGNA
IL
01
480030836
MEDICARE RAILROAD
IL
01
5409760001
DMEPOS
IL
01
9053889
PCHS
IL
Enumeration date
06/16/2005
Last updated
04/01/2022
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