Jon B Whitehurst in Rockford - Sports Medicine
Jon B Whitehurst - NPI 1508971763
Jon B Whitehurst is a Sports Medicine in Rockford, Illinois. Jon B Whitehurst practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jon B Whitehurst is 1508971763. The last update date is 2023-08-03.
Jon B Whitehurst's current location address is 324 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8153989491 and fax number 8153817498. The mailing address for Jon B Whitehurst is 324 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon B Whitehurst |
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Address | 324 Roxbury Rd, Rockford, Illinois |
Phone Number | 8153989491 |
Fax Number | 8153817498 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1508971763 |
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Provider Enumeration Date | 2006-08-20 |
Last Updated Date | 2023-08-03 |
Provider Mailing Address Detail
Address | 324 Roxbury Rd |
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City | Rockford |
State | Illinois (IL) |
Post Code | 611075090 |
Phone Number | 8153989491 |
Fax Number | 8153817498 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | 036-106142 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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036-106142 | IL | -- |
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What is the unique 10-digit identifier code assigned to Jon B Whitehurst by the Centers for Medicare & Medicaid Services?
The Jon B Whitehurst has been issued the NPI (National Provider Identifier) 1508971763 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jon B Whitehurst located?
The Jon B Whitehurst is located at 324 Roxbury Rd, Rockford, IL 611075090.
What is Jon B Whitehurst's area of expertise and its corresponding taxonomy classification?
The Jon B Whitehurst's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.
When was the Jon B Whitehurst's 1508971763 issued?
The Jon B Whitehurst's 1508971763 was issued on 2006-08-20.
As of what date was the information regarding Jon B Whitehurst, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jon B Whitehurst, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-03.