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Individual

DR. WILLIAM JAMES POPOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180, SHILOH, IL 62269-2914
(618) 607-1340
(618) 622-9724
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(618) 607-1340
(618) 622-9724

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036060456
IL
207RX0202X
Medical Oncology Physician
Primary
036060456
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200058084
MO
Enumeration date
05/04/2006
Last updated
04/21/2025
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