Individual
WILLIAM A CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 MEMORIAL DR STE 240, BELLEVILLE, IL 62226-5363
(618) 234-2390
(618) 234-9936
Mailing address
4600 MEMORIAL DR, SUITE 400, BELLEVILLE, IL 62226-5366
(618) 234-2390
(618) 234-9936
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-082912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568454775
—
IL
Enumeration date
08/16/2005
Last updated
02/12/2021
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