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Individual

WILLIAM K PAYNE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20201 CRAWFORD AVE, SUITE 1400, OLYMPIA FIELDS, IL 60461-1010
(708) 679-2310
(708) 503-4445
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4253
(317) 865-8319

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036093997
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036093997
IL
01
L95565
MEDICARE PTAN
IL
Enumeration date
03/28/2006
Last updated
06/23/2025
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