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NPI Code Detail

MEDICARE: WILLIAM JAMES WINGER

MEDICARE: WILLIAM JAMES WINGER
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
1101YP2500XProfessional Counselor178.013703IL

General Provider Information

NPI Number : 1558828012
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JAMES WINGER
Provider Business Mailing Address
First Line : 30 N MICHIGAN AVE STE 1920
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3618
Country : US
Telephone Number : 312-263-4369
Fax Number : 312-263-4369
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 1920
Second Line :
City : CHICAGO
State : IL
Zip : 60602-3618
Country : US
Telephone Number : 312-263-4369
Fax Number : 312-263-4369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2019
Last Update Date : 02/20/2019

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