MR. Larry Keith Whitaker JR., P.A.

NPI #1205870649 in Hoopeston, Illinois

Provider Information

NPI Number
1205870649
Entity Type
Individual
Name
MR. Larry Keith Whitaker JR., P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Jun 16, 2006
Last Updated
Jun 9, 2025

Practice Location

Address
801 E ORANGE ST
Address 2
HOOPESTON COMMUNITY MEMORIAL HOSPITAL DBA CHARLOTTE ANN
ZIP Code
60942-1802
Phone
(217) 283-5644

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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