Individual
OLIVIA M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 E GRANT ST STE 211, MACOMB, IL 61455-3378
(309) 833-3706
(309) 836-1039
Mailing address
515 E GRANT ST STE 211, MACOMB, IL 61455-3378
(309) 833-3706
(098) 363-1039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125070737
IL
Other
Enumeration date
06/06/2017
Last updated
09/12/2022
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