Robert W White (NPI# 1033241245, PAC ID# 2163685298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1033241245 |
| PAC ID by PECOS | 2163685298 |
| Professional Enrollment ID | I20120529000422 |
| Full Name | Robert W White |
| Address |
307 Henderson Rd Knoxville IL 61448-1019 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1997 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 307 Henderson Rd, Knoxville, IL 61448-1019 |
| Street Address |
307 HENDERSON RD |
| City | KNOXVILLE |
| State | IL |
| Zip | 61448-1019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Kotula | Chiropractic | 106 E Public Square, Knoxville, IL 61448-1300 |
| City | KNOXVILLE |
| Zip Code | 61448 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KNOXVILLE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.