Doctor Name: | DR. WILLIAM R. STORINO |
NPI Number: | 1063417921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 016-004694 |
Business Practice Address: | 157 N Seymour Ave Mundelein, IL - 600602304 |
Business Phone Number: | 8475668580 |
Business Fax Number: | 8475662818 |
Mailing Address: | 90 E Elk Ct, HAINESVILLE |
State: | IL |
Postal Code: | 600304111 |
Phone Number: | 8472316711 |
Fax Number: | 8475662818 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 016-004694 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |