Provider Demographics
NPI:1023060647
Name:RANKIN, WILLIAM E (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:RANKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1726 BROADLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-3509
Mailing Address - Country:US
Mailing Address - Phone:563-359-0407
Mailing Address - Fax:
Practice Address - Street 1:2350 41ST ST
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-5014
Practice Address - Country:US
Practice Address - Phone:309-764-1880
Practice Address - Fax:309-764-3766
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-082384207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036082384Medicaid
ILK34835Medicare PIN
IL036082384Medicaid