Individual
ADRIANNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N MARION ST STE 7, OAK PARK, IL 60301-1503
(312) 545-5519
Mailing address
PO BOX 24106, CHICAGO, IL 60624-0106
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
011264923
IL
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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