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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARRY KEITH WHITAKER JR., P.A.

Active

MR. LARRY KEITH WHITAKER JR., P.A. is a Medical Physician Assistant healthcare provider located in HOOPESTON, Illinois. NPI 1205870649 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · HOOPESTON, IL

Registration Details

NPI Number
1205870649
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2006 (20.155538180493 yrs)
Last Updated
Jun 9, 2025
Licenses
085002299 (IL)
085002299 (IL)

Practice Information

Address
801 E ORANGE ST
HOOPESTON COMMUNITY MEMORIAL HOSPITAL DBA CHARLOTTE ANN
HOOPESTON, IL, 609421802
Browse IL providers · Browse ZIP 60942
Phone
2172835644
Fax
2172837432
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in HOOPESTON, IL

Name Credential NPI
MELIA NICOLE MCCORD PA-C 1821075243
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.