| Dr. Mary White Pc | |
|
6451 E Riverside Blvd, Ste 104, Rockford, IL 61114-4421 | |
| (815) 282-4000 | |
| Not Available |
| Full Name | Dr. Mary White Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 6451 E Riverside Blvd, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174724520 | NPI | - | NPPES |
| DO9332 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016004011 (Illinois) | Primary |
| Provider Name | Mary C White |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649293952 PECOS PAC ID: 4284533159 Enrollment ID: I20040113000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary White Pc 6451 E Riverside Blvd, Ste 104, Rockford, IL 61114-4421 Ph: () - | Dr. Mary White Pc 6451 E Riverside Blvd, Ste 104, Rockford, IL 61114-4421 Ph: (815) 282-4000 |
Dr. Douglas Joseph Pacaccio, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
William J Bush, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. Donald C Bisby, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 | |
Footsteps Of Illinois, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6999 Redansa Dr Ste 5a, Rockford, IL 61108 Phone: 815-229-1008 | |
Dr. Paul A Galluzzo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6999 Redansa Drive, Rockford, IL 61108 Phone: 815-229-1008 Fax: 815-229-1654 | |
Thomas A Runne Dpm Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1437 S Bell School Rd Ste 2, Rockford, IL 61108 Phone: 815-284-2023 |