Individual
JERMAINE KYONG WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637
(773) 702-9500
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-9500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.139117
IL
207P00000X
Emergency Medicine Physician
125-059996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036139117
—
IL
01
—
F400464740
MEDICARE PTAN
IL
Enumeration date
07/07/2011
Last updated
09/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us