Doctor Name: | EMERY CHARLES WHITLOW |
NPI Number: | 1073619995 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CVRT |
License Number: | |
Business Practice Address: | 5th Ave And Roosevelt Road Hines, IL - 601415000 |
Business Phone Number: | 6309411082 |
Business Fax Number: | |
Mailing Address: | 274 E 2nd St, ELMHURST |
State: | IL |
Postal Code: | 601262940 |
Phone Number: | 6309411082 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2255R0406X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Rehabilitation, Blind |
Taxonomy Definition: |