PENNY LA RUTH WHITE MD NPI 1245254044

NPI Information

  • NPI: 1245254044
  • Provider Name: PENNY LA RUTH WHITE, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 115 N PARKSIDE AVE
    CHICAGO, IL
    ZIP 60644
  • Phone: (773) 295-3060

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NPI Details

Penny La Ruth White, MD is a pediatrics in Chicago, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Penny La Ruth White, MD NPI is 1245254044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 N PARKSIDE AVE
CHICAGO, IL
ZIP 60644-040
Phone: (773) 295-3060

The enumeration date for this NPI number is 7/26/2006 and was last updated on 1/3/2020.

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 Number License State Primary
1208000000XPediatrics036122437ILLINOISYes
2208000000XPediatrics00012637ALABAMANo

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
1630902034MEDICAIDALABAMA
2630901034MEDICAIDALABAMA
3630904034MEDICAIDALABAMA
4630900034MEDICAIDALABAMA
5630903034MEDICAIDALABAMA

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: 11/21/2025

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