Healthcare Provider Details

I. General information

NPI: 1982798146
Provider Name (Legal Business Name): WILLIAM H ALBERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 12/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 NE GLEN OAK AVE SUITE 304
PEORIA IL
61603-3105
US

IV. Provider business mailing address

PO BOX 6004
URBANA IL
61803-6004
US

V. Phone/Fax

Practice location:
  • Phone: 309-655-3453
  • Fax: 309-655-2938
Mailing address:
  • Phone: 309-655-3453
  • Fax: 309-655-2938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number036-041298
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: