Individual
ERIC CHRISTOPHER WHITTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2900 FRANK SCOTT PKWY W, SUITE 900, BELLEVILLE, IL 62223-5000
(618) 277-5700
(618) 257-7049
Mailing address
2900 FRANK SCOTT PKWY W, SUITE 900, BELLEVILLE, IL 62223-5000
(618) 277-5700
(618) 257-7049
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100100
HEALTHALLIANCE
IL
01
—
193177
BC/BS
MO
01
—
2700598
UHC
IL
01
—
683558
HEALTHLINK
IL
01
—
7788328
AETNA
IL
01
—
9890794
CIGNA
IL
01
—
P00163378
MEDICARE RAILROAD PTAN
IL
Enumeration date
03/08/2006
Last updated
04/24/2012
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