Whiteley, Joseph R

Whiteley, Joseph R is an individual health care provider with primary practice located at 2300 N Rockton Ave Ste 304, Rockford IL 61103-3619. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Whiteley, Joseph R can be contacted via phone (815) 964-3333.

Contact Information

Primary practice address
2300 N Rockton Ave Ste 304 Rockford IL 61103-3619
Phone: (815) 964-3333
Fax: (815) 964-3331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X Illinois

Profile Details

NPI number 1043216112
LBN Legal business name Whiteley, Joseph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Dec 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043216112 NPPES
Illinois MEDICAID 036071666 2
Illinois Other 194269

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