William Forsythe, Do, Pllc

NPI 1003143652 - Emergency Medicine - 207P00000X

NPI Details
NPI 1003143652
Enumeration Date 11/03/2009
Last Updated 10/31/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WILLIAM C. WILLIAM
Position CEO
Phone (509) 366-2108
Fax (217) 355-8347
Practice Location
2502 GALEN DR
CHAMPAIGN IL, 61821-7045, US
Phone (509) 366-2108
Fax (217) 355-8347
Business Location
2502 GALEN DR
SUITE 101
CHAMPAIGN IL, 61821-7045, US
Phone (509) 366-2108
Fax (217) 355-8347
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, William Forsythe, Do, Pllc NPI is 1003143652, taxonomy code is 207P00000X William Forsythe, Do, Pllc physically located at 2502 Galen Dr, Champaign IL, 61821-7045. NPI Number 1033115704 has the healthcare provider type.

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1003143652 NPI number is provided on an as is basis without warranty of any kind. 1003143652 is maintained by the National Plan & Provider Enumeration System. The contents of William Forsythe, Do, Pllc are for informational purposes only.