Individual
DR. JOSEPH FORTUNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 545-4777
(217) 545-7512
Mailing address
PO BOX 19662, SPRINGFIELD, IL 62794-9662
(217) 545-4777
(217) 545-7512
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125-064009
IL
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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