Individual
JOHN V WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8816 DEMPSTER, NILES, IL 60714
(847) 518-1762
(847) 723-3007
Mailing address
8816 DEMPSTER, NILES, IL 60714
(847) 518-1762
(847) 723-3007
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036067291
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632574
BCBS
IL
05
—
036067291
—
IL
Enumeration date
08/31/2006
Last updated
05/19/2023
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