Individual
ALEXANDER WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1055 FEATHERSTONE RD STE C, ROCKFORD, IL 61107-5904
(815) 227-1055
(815) 227-1006
Mailing address
1055 FEATHERSTONE RD STE C, ROCKFORD, IL 61107-5904
(815) 227-1055
(815) 227-1006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085006485
IL
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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