White, Joseph Edward
White, Joseph Edward is an individual health care provider with primary practice located at 547 Edgewood Pl , River Forest IL 60305-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Joseph Edward can be contacted via phone (847) 455-3335.Contact Information
Primary practice address
547 Edgewood Pl
River Forest IL 60305-1607
Phone: (847) 455-3335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3652104 | Illinois |
Profile Details
| NPI number | 1558480160 |
|---|---|
| LBN Legal business name | White, Joseph Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Oct 18th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558480160 | NPPES |
| Illinois | MEDICAID | 036052104 |
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