Individual
WILLIAM R BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 647-9652
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 649-5302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0360851714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062839
UMWA
IL
01
—
014155
HEALTH ALLIANCE
IL
01
—
02922981
BCBS
IL
05
—
036085171
—
IL
01
—
085171
OSF HEALTHPLANS
IL
01
—
1942315197
NPI CLINIC NUMBER
IL
01
—
200397
BLACK LUNG
IL
01
—
222121
HEALTH LINK
IL
01
—
CG5172
RR MEDICARE
—
01
—
IL0116
JOHN DEERE
IL
Enumeration date
08/25/2006
Last updated
07/25/2011
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