Whitehurst, Jon B

Whitehurst, Jon B is an individual health care provider with primary practice located at 324 Roxbury Rd , Rockford IL 61107-5090. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Whitehurst, Jon B can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
324 Roxbury Rd Rockford IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036-106142 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-106142 Illinois

Profile Details

NPI number 1508971763
LBN Legal business name Whitehurst, Jon B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 3rd, 2023 - about 2 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 1508971763 NPPES
Illinois MEDICAID 036-106142

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