Individual provider · Type 1 NPI

Joseph R. Whiteley, MD

Plastic and Reconstructive Surgery Physician · Rockford, IL

NPI number 1043216112 Active

Practice location

2300 N Rockton Ave, Ste 304
Rockford, IL 61103-3619

Call (815) 964-3333 Map

Fax (815) 964-3331

Mailing address

PO Box 15730
Loves Park, IL 61132-5730

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XNone listed
Surgery Physician 208600000XNone listed
Pediatric Surgery Physician 2086S0120XNone listed
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed
Trauma Surgery Physician 2086S0127XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1043216112

Joseph R. Whiteley, MD's National Provider Identifier is 1043216112, issued on Jun 23, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Rockford, IL. The record was last updated on Dec 17, 2007.