Dr. Mary White Pc in Rockford - Podiatrist
Dr. Mary White Pc - NPI 1174724520
Dr. Mary White Pc is a Podiatrist in Rockford, Illinois. Dr. Mary White Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Dr. Mary White Pc is 1174724520. The last update date is 2022-11-29.
Dr. Mary White Pc's current location address is 6451 E Riverside Blvd, Rockford, Illinois. You can contact this provider via phone number 8152824000. The mailing address for Dr. Mary White Pc is 6451 E Riverside Blvd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Mary White Pc |
|---|---|
| Address | 6451 E Riverside Blvd, Rockford, Illinois |
| Phone Number | 8152824000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | White Mary |
| Telephone Number | 8152824000 |
NPI Number Detail
| NPI Number | 1174724520 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2022-11-29 |
Provider Mailing Address Detail
| Address | 6451 E Riverside Blvd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611144421 |
| Phone Number | 8152824000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004011 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DO9332 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Dr. Mary White Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Dr. Mary White Pc has been assigned the NPI (National Provider Identifier) 1174724520. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Dr. Mary White Pc?
The Dr. Mary White Pc is situated at 6451 E Riverside Blvd, in the city of Rockford, state of IL, with the zip code 611144421.
What is Dr. Mary White Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dr. Mary White Pc is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Dr. Mary White Pc receive the assignment of its 1174724520 from the Centers for Medicare & Medicaid Services?
The Dr. Mary White Pc was issued its 1174724520 by the Centers for Medicare & Medicaid Services on 2007-05-31.
As of what date were the details pertaining to Dr. Mary White Pc last refreshed?
The information related to the Dr. Mary White Pc, including its address, specialty, and other relevant details, was last updated on 2022-11-29.