| Dr Robert Wallace White, DC | |
|
307 Henderson Rd, Knoxville, IL 61448-1019 | |
| (309) 289-4000 | |
| (309) 289-4001 |
| Full Name | Dr Robert Wallace White |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 307 Henderson Rd, Knoxville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033241245 | NPI | - | NPPES |
| 37-1366738 | Other | IL | TAX ID |
| 038-008364 | Other | IL | PROF. LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-008364 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Wallace White, DC 307 Henderson Rd, Knoxville, IL 61448-1019 Ph: (309) 289-4000 | Dr Robert Wallace White, DC 307 Henderson Rd, Knoxville, IL 61448-1019 Ph: (309) 289-4000 |
Michael Kotula, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 106 E Public Sq, Knoxville, IL 61448 Phone: 309-289-9777 Fax: 309-289-9777 | |
White Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 307 Henderson Rd, Knoxville, IL 61448 Phone: 309-289-4000 |