William G Conrad, MD
Anesthesiology in Burr Ridge, IL. Individual provider (NPI-1).
NPI number1073678298
StatusActive
Last updated in NPPESNov 13, 2012
Details
- NPI
- 1073678298
- Entity type
- Individual (NPI-1)
- Name
- William G Conrad
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2006
- Last updated
- Nov 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036078851 | IL | Yes |
Practice location
180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686
Phone 773-834-4064
Mailing address
5841 S Maryland Ave # Mc1099Chicago, IL 60637-1447
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