MEDICARE: WILLIAM C MCCABE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	14524	AZ
2	146D00000X	Personal Emergency Response Attendant	17368	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730157322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM C MCCABE M.D.

Provider Business Mailing Address
First Line	:	1702 E 6TH ST
Second Line	:
City	:	COAL VALLEY
State	:	IL
Zip	:	61240-9145
Country	:	US
Telephone Number	:	309-799-3738
Fax Number	:	309-799-5051

Provider Business Practice Location Address
First Line	:	1702 E 6TH ST
Second Line	:
City	:	COAL VALLEY
State	:	IL
Zip	:	61240-9145
Country	:	US
Telephone Number	:	309-799-3738
Fax Number	:	309-799-5051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	09/11/2025

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Directions to “ WILLIAM C MCCABE M.D.” Practice Location

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