Individual
PEGGI J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
204 WEST UNIVERSITY, CARLE ADDICTION RECOVERY CENTER, URBANA, IL 61801
(217) 383-6039
(217) 328-3581
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000329
IL
Other
Enumeration date
02/27/2007
Last updated
05/16/2014
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