Organization
WILLIAM E. PAWLAK P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PAWLAK (PRESIDENT)
(847) 650-3375
Entity
Organization
Contact information
Practice address
2101 GATEWAY CENTER DR, BELVIDERE, IL 61008-9310
(815) 547-5950
(815) 547-7057
Mailing address
2101 GATEWAY CENTER DR, BELVIDERE, IL 61008-9310
(815) 547-5950
(815) 547-7057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009055
—
IL
01
—
K27817
RENDERING PROVIDER NUMBER
IL
Enumeration date
05/30/2006
Last updated
06/01/2015
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