Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM L BUNTAIN, MD
ActiveWILLIAM L BUNTAIN, MD is a Pediatric Surgery healthcare provider located in ROCKFORD, Illinois. NPI 1700902608 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · ROCKFORD, IL
Registration Details
- NPI Number
- 1700902608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.411913133078 yrs)
- Last Updated
- Nov 22, 2016
- Licenses
-
20030056 (NM)036131963 (IL)04-23862 (KS)
Practice Information
- Address
-
2350 N ROCKTON AVEROCKFORD, IL, 611033600Browse IL providers · Browse ZIP 61103
- Phone
- 8159717255
- Fax
- 8159719955
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- General Surgery
- Additional Specialty
- Pediatric Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.