Healthcare Provider Details

I. General information

NPI: 1104197599
Provider Name (Legal Business Name): WHISPERING PINES HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 EAST C.R. 300 NORTH
ARCOLA IL
61910-3785
US

IV. Provider business mailing address

600 EAST C.R. 300 NORTH
ARCOLA IL
61910-3785
US

V. Phone/Fax

Practice location:
  • Phone: 217-268-5008
  • Fax: 217-268-5010
Mailing address:
  • Phone: 217-268-5008
  • Fax: 217-268-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VIRGINIA A. WADE
Title or Position: CEO
Credential: M.D.
Phone: 217-268-5008