Individual
ROBERT E WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 MAPLE SUMMIT RD, JCH ORTHO CENTER, JERSEYVILLE, IL 62052
(618) 498-8472
(618) 498-8461
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052
(618) 498-4518
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003276
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134163827
GROUP NPI JCH MEDICAL GROUP
IL
01
—
300440
BLUE CROSS
ID
01
—
K53375
MEDICARE PTAN
IL
Enumeration date
08/25/2008
Last updated
11/13/2024
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