DR. Joseph R Whiteley, M.D.

NPI #1043216112 in Rockford, Illinois

Provider Information

NPI Number: 1043216112
Entity Type: Individual
Name: DR. Joseph R Whiteley, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Credential: M.D.
Enumeration Date: Jun 23, 2005
Last Updated: Dec 17, 2007

Practice Location

Address: 2300 N ROCKTON AVE
Address 2: STE 304
City: Rockford
State: Illinois
ZIP Code: 61103-3619
Phone: (815) 964-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X
Surgery	208600000X
Surgery - Pediatric Surgery — Pediatric Surgery	2086S0120X
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X

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Organizations

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Swedishamerican Hospital	Surgery - Plastic and Reconstructive Surgery	Rockford	AI Deep Dive
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