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Individual

JOSEPH EDWARD WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
547 EDGEWOOD PL, RIVER FOREST, IL 60305-1607
(847) 455-3335
Mailing address
547 EDGEWOOD PL, RIVER FOREST, IL 60305-1607
(847) 455-3335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3652104
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036052104
IL
Enumeration date
03/28/2007
Last updated
10/18/2018
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