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Dr. Mary White Pc
Podiatrist in Rockford, Illinois
NPI 1174724520

Dr. Mary White Pc is a Podiatrist based in Rockford, IL. Dr. Mary White Pc practices in Rockford, IL. The NPI Number for Dr. Mary White Pc is 1174724520 and holds a License No. 016004011 (Illinois).

The current practice location address for Dr. Mary White Pc is 6451 E Riverside Blvd, Rockford, IL and can be reached out via phone at 815-282-4000.

Location: 6451 E Riverside Blvd, Rockford, IL, 61114-4421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174724520
Provider Name
Dr. Mary White Pc
Credential
Provider Entity Type
Organization
Address
6451 E Riverside Blvd, Rockford, IL, 61114-4421
Phone Number
815-282-4000
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DO9332 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
6451 E Riverside Blvd
City
Rockford
State
Illinois
Zip
61114-4421
Phone Number
815-282-4000
Fax Number
person
Provider Business Mailing Address Details
Address
6451 E Riverside Blvd
City
Rockford
State
Illinois
Zip
61114-4421
Phone Number
815-282-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016004011 (Illinois)
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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