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Individual

DRAKE B WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 E GRANT ST, SUITE 205, MACOMB, IL 61455
(309) 833-3800
(309) 837-6092
Mailing address
505 E GRANT ST, SUITE 205, MACOMB, IL 61455
(309) 833-3800
(309) 837-6092

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036090221
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036090221
IL
01
0587030
IOWA MEDICAID
IA
Enumeration date
09/02/2006
Last updated
12/30/2008
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