Renita White is a Physician Assistant in Chicago, Illinois. Renita White practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Renita White is 1396871687. The last update date is 2011-05-16.
Renita White's current location address is 4538 S Woodlawn Avenue, Chicago, Illinois. You can contact this provider via phone number 7735387958. The mailing address for Renita White is 4538 S Woodlawn Avenue, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renita White |
|---|---|
| Address | 4538 S Woodlawn Avenue, Chicago, Illinois |
| Phone Number | 7735387958 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1396871687 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2011-05-16 |
Provider Mailing Address Detail
| Address | 4538 S Woodlawn Avenue |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606531732 |
| Phone Number | 7735387958 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002943 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 085-002943 | IL | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Renita White?
The Renita White has been issued the NPI (National Provider Identifier) 1396871687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Renita White's physical address?
The Renita White is physically located at 4538 S Woodlawn Avenue, in the city of Chicago, IL, with the postal code 606531732.
What is Renita White's area of expertise and its corresponding taxonomy classification?
The Renita White's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Renita White receive its 1396871687 assignment from the Centers for Medicare & Medicaid Services?
The Renita White was assigned its 1396871687 by the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date was the information pertaining to Renita White, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Renita White, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-16.
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