DR. JOSEPH R WHITELEY M.D.
NPI 1043216112
Surgery - Plastic and Reconstructive Surgery in Rockford, IL

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

Active since June 23, 2005

2300 N ROCKTON AVE, STE 304, ROCKFORD, IL 61103(815) 964-3333(815) 964-3331 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Joseph R Whiteley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH R WHITELEY M.D. (NPI 1043216112) is an individual plastic and reconstructive surgery provider in Rockford, Illinois and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1043216112

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. JOSEPH R WHITELEYCredential: M.D.

Location Address2300 N ROCKTON AVE, STE 304Rockford, IL 61103-3619

Mailing AddressPo Box 15730Loves Park, IL 61132-5730 · (815) 964-3333 · Fax (815) 964-3331

Phone(815) 964-3333

Fax(815) 964-3331

Sole ProprietorNo

Enumeration DateJune 23, 2005

Last NPPES UpdateDecember 17, 2007

✔ NPI 1043216112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X

2300 N ROCKTON AVE, Rockford, IL 61103

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Other Identifiers 4

Other194269IL · Personal Care

Medicare UPIND15861IL

Medicare PINL90103IL

Medicaid036071666 2IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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