Search › Illinois › 122300000X
William Bloink Iv
NPI 1316476005 · on the registry since 2017
Practice
- Address
- 2701 S Koke Mill Rd
Springfield, IL 62711 - Phone
- (217) 793-8899
- Fax
- (217) 793-9662
- Organisation at this address
- Lifetime Dental Care Of Illinois, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois