Individual
CLIFFORD WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
250 S NORTHWEST HWY STE 100, PARK RIDGE, IL 60068-4237
(773) 631-7898
(773) 631-3005
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004982
IL
Other
Enumeration date
04/06/2006
Last updated
10/11/2024
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