Individual
DR. WILLIAM EDMUND FLETCHALL
Active
Individual
DR. WILLIAM EDMUND FLETCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036118956
IL
207P00000X
Emergency Medicine Physician
125-049796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361189564
—
IL
01
—
36118956
BCBS
IL
01
—
P00655422
RAILROAD MCARE THRU CES
IL
01
—
P00936448
RRMCARE THRU CESIISC (GES)
IL
Enumeration date
05/21/2007
Last updated
08/17/2011
Update your record
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