Provider Demographics
NPI:1356367742
Name:DORSEY, WILLIAM OP III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:OP
Last Name:DORSEY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:7531 S STONY ISLAND AVE
Mailing Address - Street 2:SUITE 261
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-3954
Mailing Address - Country:US
Mailing Address - Phone:773-947-7861
Mailing Address - Fax:773-947-2820
Practice Address - Street 1:7531 S STONY ISLAND AVE
Practice Address - Street 2:SUITE 261
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-3954
Practice Address - Country:US
Practice Address - Phone:773-947-7861
Practice Address - Fax:773-947-2820
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0021609577OtherBLUE CROSS
ILD93855Medicare UPIN
IL670900Medicare ID - Type Unspecified