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Individual

MR. WILLIAM ROBERT DEVLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
502 S VINE ST, URBANA, IL 61801-4220
(217) 344-6664
(217) 344-9282
Mailing address
502 S VINE ST, URBANA, IL 61801-4220
(217) 344-6664
(217) 344-9282

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
IL
224P00000X
Prosthetist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113686141001
IL
01
CPO02628
ABC CERTIFICATION NUMBER
IL
Enumeration date
12/30/2005
Last updated
09/11/2025
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