Basic Information
| Provider Information | |||||||||
| NPI: | 1396752671 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATKINSON | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2100 N. HUNTINGTON DRIVE | ||||||||
| Address2: | UNIT A | ||||||||
| City: | ALGANQUIN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601025940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3172546480 | ||||||||
| FaxNumber: | 3172598609 | ||||||||
| Practice Location | |||||||||
| Address1: | 2100 N. HUNTINGTON DRIVE | ||||||||
| Address2: | UNIT A | ||||||||
| City: | ALGONQUIN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601025940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8153380107 | ||||||||
| FaxNumber: | 8153385104 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 01/20/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 046-008508 | IL | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.