Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 036090103 | IL |
N | 207RI0011X | Interventional Cardiology | 036090103 | IL |
NPI | 1003803552 |
---|---|
Provider Name | Dr. William P Towne |
First Address | Geneva, IL 60134-4220 |
Second Address | Geneva, IL 60134-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036090103 | (05) | IL |
206147 | MEDICARE PTAN (GROUP) (01) | IL |
206147057 | MEDICARE PTAN (INDIVIDUAL) (01) | IL |
G89811 | (02) | IL |
P00932717 | RR MEDICARE PTAN (INDIVIDUAL) (01) | IL |