Olivia M White, MD | |
515 E Grant St Ste 211, Macomb, IL 61455-3378 | |
(309) 833-3706 | |
(309) 836-1039 |
Full Name | Olivia M White |
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Gender | Female |
Speciality | Surgery |
Location | 515 E Grant St Ste 211, Macomb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124557939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125070737 (Illinois) | Primary |
Entity Name | Mcdonough County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609180082 PECOS PAC ID: 0446140180 Enrollment ID: O20090407000082 |
Mailing Address | Practice Location Address |
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Olivia M White, MD 515 E Grant St Ste 211, Macomb, IL 61455-3378 Ph: (309) 833-3706 | Olivia M White, MD 515 E Grant St Ste 211, Macomb, IL 61455-3378 Ph: (309) 833-3706 |
Dr. James Joseph Gonzales, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St, Ste 211, Macomb, IL 61455 Phone: 309-833-3706 | |
Dr. Edwin L Card, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St, Suite 211, Macomb, IL 61455 Phone: 309-833-3706 | |
Laura Peck, Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St Ste 211, Macomb, IL 61455 Phone: 309-833-3706 |