Individual
DR. WILLIAM M NOORLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
130 S MAIN ST STE 202, LOMBARD, IL 60148-2670
(331) 221-9004
(331) 221-2760
Mailing address
4201 WINFIELD RD FL 4, WARRENVILLE, IL 60555-4025
(331) 221-6377
(331) 221-2357
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016.003832
IL
213E00000X
Podiatrist
016003832
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004932042
BLUE CROSS BLUE SHIELD
IL
01
—
02230069
BLUE CROSS/BLUE SHIELD
IL
01
—
480008434
RAILROAD MEDICARE
IL
Enumeration date
06/09/2005
Last updated
06/22/2021
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