Jon B Whitehurst, MD | |
324 Roxbury Rd, Rockford, IL 61107-5090 | |
(815) 398-9491 | |
(815) 381-7498 |
Full Name | Jon B Whitehurst |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 28 Years |
Location | 324 Roxbury Rd, Rockford, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508971763 | NPI | - | NPPES |
036-106142 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | 036-106142 (Illinois) | Secondary |
207X00000X | Orthopaedic Surgery | 036-106142 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthomidwest Pllc | 0749183713 | 384 |
Entity Name | Orthomidwest Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
Mailing Address | Practice Location Address |
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Jon B Whitehurst, MD Po Box 735263, Chicago, IL 60673-5263 Ph: () - | Jon B Whitehurst, MD 324 Roxbury Rd, Rockford, IL 61107-5090 Ph: (815) 398-9491 |
Donald H Holder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1235 N Mulford Rd, Rockford, IL 61107 Phone: 815-637-8637 | |
Dr. Steven Milos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St, Suite 100, Rockford, IL 61104 Phone: 779-696-1900 | |
Thomas J Danaher, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1340 Charles St, Ste 100, Rockford, IL 61104 Phone: 779-696-1900 | |
Jeffrey S. Earhart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Jeremiah Albert Pflederer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 801-587-5448 | |
Edric G Schwartz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Brian J Bear, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 |