Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | IL | |
N | 2080P0206X | Pediatric Gastroenterologist | IL |
NPI | 1164477345 |
---|---|
Provider Name | Dr. Peter F Whitington |
First Address | Chicago, IL 60614-3394 |
Second Address | Chicago, IL 60614-3394 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B03756 | (02) | IL |