Individual
BOB WILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16519 S RTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
(630) 646-5025
Mailing address
16519 S ROUTE 59, PLAINFIELD, IL 60586-2606
(630) 646-5020
(630) 646-5025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036124475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361244752
—
IL
01
—
9933040
BCBS
IL
Enumeration date
09/04/2007
Last updated
02/26/2021
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