Individual
SCOTT S. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3849 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
(866) 914-7594
Mailing address
3849 N PERRYVILLE RD, ROCKFORD, IL 61114-8080
(815) 397-5554
(866) 914-7594
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11290C
WY
2085R0202X
Diagnostic Radiology Physician
Primary
36-088459
IL
2085R0202X
Diagnostic Radiology Physician
MD-44853
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088459
—
IL
01
—
250770002
MEDICARE PTAN NUMBER
IL
Enumeration date
05/26/2006
Last updated
01/28/2026
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