Individual
DR. WILLIAM JOHN ANKENBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507, EVANSTON, IL 60201-1718
(847) 570-2482
(847) 570-2942
Mailing address
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507, EVANSTON, IL 60201-1718
(847) 570-2482
(847) 570-2942
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036086406
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086406
—
IL
01
—
1632065
BLUE SHIELD
IL
01
—
300111601
RAILROAD MEDICARE
IL
Enumeration date
07/18/2006
Last updated
07/02/2008
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