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Individual

DR. WILLIAM R PADGETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 N EAST ST, OLNEY, IL 62450-2499
(618) 395-5222
(618) 395-8552
Mailing address
1120 N EAST ST, OLNEY, IL 62450-6927
(618) 395-5222
(618) 395-8552

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036095639
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036095639
IL
01
065697
HEALTH ALLIANCE
IL
01
160033468
RAILROAD MEDICARE
01
284797
HEALTHLINK
IL
Enumeration date
08/04/2006
Last updated
08/29/2024
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