Whitehouse, Clifford C

Whitehouse, Clifford C is an individual health care provider with primary practice located at 7447 W Talcott Ave Suite 500, Chicago IL 60631-3745. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Whitehouse, Clifford C can be contacted via phone (773) 850-3050.

Contact Information

Primary practice address
7447 W Talcott Ave Suite 500 Chicago IL 60631-3745
Phone: (773) 850-3050
Fax: (773) 631-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096-002076 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085004982 Illinois

Profile Details

NPI number 1780647362
LBN Legal business name Whitehouse, Clifford C
Credentials MMS, ATC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 4th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780647362 NPPES
Illinois Other 1780647362 NPI

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