| Mark Whitney, PA-C | |
|
1815 Mediterranean Dr Ste 103, Sycamore, IL 60178-3299 | |
| (815) 981-4742 | |
| Not Available |
| Full Name | Mark Whitney |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1815 Mediterranean Dr Ste 103, Sycamore, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225445273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-005096 (Illinois) | Primary |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Entity Name | Gilvydis Vein Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508104068 PECOS PAC ID: 6901048826 Enrollment ID: O20130806000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Whitney, PA-C 1815 Mediterranean Dr Ste 103, Sycamore, IL 60178-3299 Ph: (815) 981-4742 | Mark Whitney, PA-C 1815 Mediterranean Dr Ste 103, Sycamore, IL 60178-3299 Ph: (815) 981-4742 |
Carrie L Kopala, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-766-9901 Fax: 815-758-7298 |
Ms. Bridget Faye Artrip, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr Ste 203, Sycamore, IL 60178 Phone: 815-766-3942 Fax: 815-758-5482 |
Alexa Anne Williamson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2496 Dekalb Ave, Sycamore, IL 60178 Phone: 815-754-1122 |
Micheal D Wank, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-756-7130 |
Hillary D Hoshaw, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 954 W State St, Sycamore, IL 60178 Phone: 815-895-9144 Fax: 815-895-5740 |
Jaylene M Jennings, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1830 Mediterranean Dr, Sycamore, IL 60178 Phone: 815-766-3873 Fax: 815-766-7713 |
Khadeeja Khan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 165 E Plank Rd, Sycamore, IL 60178 Phone: 844-599-3700 |