Individual
DR. WILLIAM L. PIERCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-5418
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-5418
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003699 1
—
IL
01
—
480007534
RAILROAD MEDICARE
—
01
—
909010
MEDICARE GROUP
—
Enumeration date
08/03/2006
Last updated
01/06/2022
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