Individual
ANNIE RUTH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
345 MADISON ST, OAK PARK, IL 60302-4111
(931) 998-3097
(401) 652-9787
Mailing address
345 MADISON ST, OAK PARK, IL 60302-4111
(931) 998-3097
(401) 652-9787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022316
IL
363LF0000X
Family Nurse Practitioner
209022316
IL
Other
Enumeration date
12/30/2020
Last updated
07/29/2026
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