Doctor Name: | DR. WILLIAM R STAPLETON |
NPI Number: | 1821017567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036060573 |
Business Practice Address: | 801 N Larkin Ave Ste 104 Joliet, IL - 604353442 |
Business Phone Number: | 8157259323 |
Business Fax Number: | 8159259324 |
Mailing Address: | 801 N Larkin Ave Ste 104, JOLIET |
State: | IL |
Postal Code: | 604353442 |
Phone Number: | 8157259323 |
Fax Number: | 8159259324 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 04/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036060573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |