Penny La Ruth White
MD | Pediatrics | Female
Penny La Ruth White, MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Penny La Ruth White is
115 N Parkside Ave, Chicago, Illinois - 60644-3040. She can be contacted on phone at
773-295-3060.
Penny La Ruth White is a sole proprietor of her business.
NPI number (Unique professional ID) for Penny La Ruth White is
1245254044 which was assigned by NPPES on 26 Jul, 2006 and it was last updated on 03 Jan, 2020.
Penny La Ruth White license number is
036122437 for Pediatrics (208000000X) in Illinois.
Penny La Ruth White is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Penny La Ruth White basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Penny La Ruth White |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Penny La Ruth White address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 115 N Parkside Ave
Chicago, IL, 60644-3040
United States |
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| Phone Number : | 773-295-3060 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245254044 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jul, 2006 |
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| Last Updated On : | 03 Jan, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Penny La Ruth White are as mentioned. Primary taxonomy code for Penny La Ruth White, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036122437 | IL |
| 208000000X | Pediatrics | No | 00012637 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Penny La Ruth White such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 630902034 | MEDICAID | AL | |
| 630901034 | MEDICAID | AL | |
| 630904034 | MEDICAID | AL | |
| 630900034 | MEDICAID | AL | |
| 630903034 | MEDICAID | AL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3 ERIE CT STE 7140,
OAK PARK, IL, 60302-2519
United States | OAK PARK, IL | 773-537-0020 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3 Erie Ct Ste 7140
Oak Park, IL, 60302-2519
United States |
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| Phone Number : | 773-537-0020 |
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| Fax Number : | 773-537-0029 |
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Business Location:
Patients can refer following map for directions to
Penny La Ruth White practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.