DR. JOSEPH R WHITELEY (NPI# 1043216112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043216112 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH R WHITELEY |
| Credential | M.D. |
| Practice Address |
2300 N Rockton Ave Ste 304 Rockford IL 61103-3619 |
| Mailing Address |
Po Box 15730 Loves Park IL 61132-5730 |
| Practice Telephone | 8159643333 |
| Practice Fax Number | 8159643331 |
| Mailing Telephone | 8159643333 |
| Mailing Fax Number | 8159643331 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | IL | Allopathic & Osteopathic Physicians | |
| N | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians | |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
IL | Allopathic & Osteopathic Physicians | |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
IL | Allopathic & Osteopathic Physicians | |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036071666 2 | 05 | |
| IL | PERSONAL CARE | 194269 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184834947 | Joseph Richard Whiteley | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-05-23 |
| Street Address |
2300 N ROCKTON AVE STE 304 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394696 | Affiliated Surgeons of Rockford LLC | Surgery | 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 | 2005-05-24 |
| 1538768056 | Patti J Wakefield | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-10-26 |
| 1235759192 | Kathryn N Norup | Physical Therapy Assistant | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-04-21 |
| 1407401912 | Eric Paulos | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-08-02 |
| 1013479575 | Jennifer Davidson | Occupational Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-04-03 |
| 1508321597 | Megan Lee Haas | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-02-05 |
| 1336634179 | Molly C Grosvenor | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-06-25 |
| 1750870291 | Lori Ann Moroz | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-05-09 |
| 1063914760 | Erika J Oltmanns | Dietitian, Registered | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-03-08 |
| 1578074753 | Dennis Durano Magdadaro | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2017-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
| 1437596186 | Franklin E Lew | Surgery | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1497910905 | Carlos Mario Rivera Serrano | Surgery | 1400 Financial Park, Carbondale, IL 62902-7537 | 2008-07-23 |
| 1518129600 | Kelli Webb | Surgery | 1400 Financial Park Drive, Carbondale, IL 62901-0000 | 2008-06-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.