DR. JOSEPH R WHITELEY M.D. NPI 1043216112

NPI Information

NPI: 1043216112
Provider Name: DR. JOSEPH R WHITELEY, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
2300 N ROCKTON AVE
STE 304
ROCKFORD, IL
ZIP 61103
Phone: (815) 964-3333
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DR. Joseph R Whiteley, M.D. is a plastic and reconstructive surgery surgery in Rockford, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Joseph R Whiteley, M.D. NPI is 1043216112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2300 N ROCKTON AVE
STE 304
ROCKFORD, IL
ZIP 61103-619
Phone: (815) 964-3333
Fax: (815) 964-3331

The enumeration date for this NPI number is 6/23/2005 and was last updated on 12/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	208200000X	Plastic Surgery		ILLINOIS	No
2	208600000X	Surgery		ILLINOIS	No
3	2086S0120X	Surgery	Pediatric Surgery	ILLINOIS	No
4	2086S0127X	Surgery	Trauma Surgery	ILLINOIS	No
5	2086S0122X	Surgery	Plastic and Reconstructive Surgery	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	194269	OTHER	ILLINOIS	PERSONAL CARE
2	D15861	MEDICARE UPIN	ILLINOIS
3	L90103	MEDICARE PIN	ILLINOIS
4	036071666 2	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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