Provider Demographics
NPI:1518038488
Name:ZANDER, WILLIAM M (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:ZANDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WOOD DUCK LN
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-9685
Mailing Address - Country:US
Mailing Address - Phone:815-434-1111
Mailing Address - Fax:815-434-1112
Practice Address - Street 1:1221 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1404
Practice Address - Country:US
Practice Address - Phone:630-554-3456
Practice Address - Fax:630-551-2970
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036086818207P00000X
IL036-0868182083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036086818Medicaid
F72505Medicare UPIN
ILK01057Medicare UPIN
IL211332Medicare PIN