JOHN WHITE MD - NPI 1871172452 - Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About John White Md NPPES

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

JOHN WHITE MD (NPI 1871172452) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2021. He maintains a secondary practice location in Jbsa-fort Sam Houston.

NPPES Registry Identity

NPI1871172452

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN WHITECredential: MD

Location Address5758 S MARYLAND AVEChicago, IL 60637-1426

Mailing Address150 Harvester Dr. Ste 300 Burr RidgeChicago, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6860

Sole ProprietorNo

Enumeration DateApril 2, 2021

Last NPPES UpdateJune 24, 20222 updates tracked since enumeration

NPPES CertifiedJune 24, 2022

✔ NPI 1871172452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5758 S MARYLAND AVE, Chicago, IL 60637

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Secondary Practice Location 1

Location 1San Antonio Military Medical Center, MCHE-ZDM-M,, Internal Medicine Residency, 3551 Roger Brooke Dr.JBSA-Fort Sam Houston, TX 78234-4504 · Phone (210) 292-7805 · Fax (210) 292-7868