Provider Demographics
NPI:1184653644
Name:BOND, WILLIAM IRVING (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:IRVING
Last Name:BOND
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 1:725 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554-5073
Mailing Address - Country:US
Mailing Address - Phone:309-353-6660
Mailing Address - Fax:
Practice Address - Street 1:725 S 14TH ST
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-5073
Practice Address - Country:US
Practice Address - Phone:309-353-6660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036061880207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036061880Medicaid
ILC41443Medicare UPIN
ILP05689Medicare ID - Type Unspecified