Provider Demographics
NPI:1134274186
Name:CAPE, WILLIAM EDWARDS (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EDWARDS
Last Name:CAPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-3582
Mailing Address - Country:US
Mailing Address - Phone:847-360-8800
Mailing Address - Fax:847-267-0966
Practice Address - Street 1:1800 GRAND AVE
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-3582
Practice Address - Country:US
Practice Address - Phone:847-360-8800
Practice Address - Fax:847-267-0966
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC39052Medicare UPIN