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NPI Code Detail

MEDICARE: WILLIAM F. PUGA, M.D. AND ASSOCIATES, S.C.

MEDICARE: WILLIAM F. PUGA, M.D. AND ASSOCIATES, S.C.
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
1101Y00000XCounselor
2103T00000XPsychologist
32084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1871688572
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAM F. PUGA, M.D. AND ASSOCIATES, S.C.
Provider Business Mailing Address
First Line : 1644 W COLONIAL PKWY
Second Line :
City : INVERNESS
State : IL
Zip : 60067-1207
Country : US
Telephone Number : 847-776-4500
Fax Number : 847-776-4724
Provider Business Practice Location Address
First Line : 1644 W COLONIAL PKWY
Second Line :
City : INVERNESS
State : IL
Zip : 60067-1207
Country : US
Telephone Number : 847-776-4500
Fax Number : 847-776-4724
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM F PUGA
Credential : M.D.
Telephone Number : 847-776-4500
Provider Enumeration Date : 10/04/2006
Last Update Date : 05/06/2008

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