SearchIllinois152W00000X

Gary White, O.D

NPI 1457323651 · on the registry since 2006 · sole proprietor

Practice

Address
211 S Bloomington St
Streator, IL 61364
Phone
(815) 672-8915
Fax
(815) 672-8915

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois