Individual
MARK WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1815 MEDITERRANEAN DR STE 103, SYCAMORE, IL 60178-3299
(815) 981-4742
Mailing address
1815 MEDITERRANEAN DR STE 103, SYCAMORE, IL 60178-3299
(815) 981-4742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005096
IL
Other
Enumeration date
07/22/2014
Last updated
12/21/2021
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