Individual
DR. WILLIAM EDMUND FLETCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6710
Mailing address
7501 N VILLA LAKE DR UNIT 9A, PEORIA, IL 61614-8280
(309) 691-5133
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us