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Contact Information

WILLIAM R BUCKLEY, MD
180 S MAIN ST
CANTON, IL61520-2608
 Phone: 309-647-0201
 Fax: 309-647-9652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM R BUCKLEY · (Male)

NPI # 1659489250
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2006
Last updated 07/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 0360851714
  • IL Medicaid 036085171
  • Other CG5172 RR MEDICARE
  • IL Other 02922981 BCBS
  • IL Other 200397 BLACK LUNG
  • IL Other 014155 HEALTH ALLIANCE
  • IL Other 222121 HEALTH LINK
  • IL Other IL0116 JOHN DEERE
  • IL Other 1942315197 NPI CLINIC NUMBER
  • IL Other 085171 OSF HEALTHPLANS
  • IL Other 0062839 UMWA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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