Dr. Mary White PC

NPI #1174724520 in Rockford, Illinois

Provider Information

NPI Number: 1174724520
Entity Type: Organization
Organization Name: Dr. Mary White PC
Primary Specialty: Podiatrist
Enumeration Date: May 31, 2007
Last Updated: Nov 29, 2022

Practice Location

Address: 6451 E RIVERSIDE BLVD
Address 2: STE 104
City: Rockford
State: Illinois
ZIP Code: 61114-4421
Phone: (815) 282-4000

Authorized Official

Name: MARY WHITE
Title: OWNER
Phone: (815) 282-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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