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1003143652
WILLIAM FORSYTHE, DO, PLLC
CHAMPAIGN, IL
NPI
1003143652
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Entity Type
Organization
Authorized Contact
WILLIAM C. FORSYTHE
CEO
509-366-2108
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2009-11-03
Last Update Date
2012-10-31
Business Address
WILLIAM FORSYTHE, DO, PLLC
2502 GALEN DR
CHAMPAIGN, IL 61821-7045
Phone number: 509-366-2108
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Mailing Address
WILLIAM FORSYTHE, DO, PLLC
2502 GALEN DR SUITE 101
CHAMPAIGN, IL 61821-7045
Phone number: 509-366-2108
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