Basic Information
| Provider Information | |||||||||
| NPI: | 1265415848 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEWHITE | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1226 E HYDE PARK BLVD APT 3 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606156267 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129332660 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8350 E KEMPER RD STE A | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452491684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3125676691 | ||||||||
| FaxNumber: | 3123287895 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2005 | ||||||||
| LastUpdateDate: | 03/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 036084015 | IL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 036084015 / 02 | 05 | IL | MEDICAID | 01621679 | 01 | IL | BCBS OF IL | OTHER |