William C Dam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036047653 Issued in IL

Practice address

214 Washington St
Ingleside, IL 60041

Phone

(847) 587-3004

Fax

(847) 587-4325

NPI assigned

Dec 22, 2005

Last updated

Jan 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William C. Dam, M.D.S.C.

  dba All Time Medical & Urgent Care

  • Internal Medicine Physician
  • Ingleside, IL
  • NPI 1760632459
  Authorized official Same address or phone
• All Time Urgent and Medical Care LTD

  • Internal Medicine Physician
  • Libertyville, IL
  • NPI 1609536887
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1447236229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WASHINGTON ST",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "60041",
            "telephone_number": "847-587-3004",
            "fax_number": "847-587-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WASHINGTON ST",
            "city": "INGLESIDE",
            "state": "IL",
            "postal_code": "60041",
            "telephone_number": "847-587-3004",
            "fax_number": "847-587-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036047653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B4900842",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Time Urgent Care LLC
• Big Hollow School District 38
• Cecelia Blue
• Michelle Elizabeth Dace, FNP-BC
• Ethan Dennis Dahl
• Dean S. Economos, MD, SC
• Domenico PLLC
• Jane Brigette Dorado, R.N.
• Dean Spiros Economos, M.D.
• Donna Marie Economos, MD

• Internal Medicine Physician in Ingleside, IL
• Providers in Ingleside, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.