Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | IL |
NPI | 1114996014 |
---|---|
Provider Name | William Maurer |
First Address | Peoria, IL 61605-2576 |
Second Address | Peoria, IL 61603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07215036 | BCBS (01) | IL |
D14555 | (02) | IL |
IL01DC | JOHN DEERE (01) | IL |