| Doctor Name: | SUZANNE S WHITE |
| NPI Number: | 1033160437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | |
| Business Practice Address: | 3305 Griffin Ave Pekin, IL - 615546237 |
| Business Phone Number: | 3093473668 |
| Business Fax Number: | 3093473890 |
| Mailing Address: | 4716 W Lynnbrook Dr, PEORIA |
| State: | IL |
| Postal Code: | 616152729 |
| Phone Number: | 3093473886 |
| Fax Number: | 3093474002 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 03/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |