Individual
DR. GARY B. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
211 S BLOOMINGTON ST, STREATOR, IL 61364-2902
(815) 672-8915
(815) 672-8915
Mailing address
211 S BLOOMINGTON ST, STREATOR, IL 61364-2902
(815) 672-8915
(815) 672-8915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046006585
—
IL
Enumeration date
02/02/2006
Last updated
08/09/2012
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