MEDICARE: WHITNEY DONALDSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209.021044	IL

General Provider Information

NPI Number	:	1700412046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY DONALDSON

Provider Business Mailing Address
First Line	:	2120 N 27TH ST
Second Line	:
City	:	DECATUR
State	:	IL
Zip	:	62526-2191
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 W HAY ST STE 213
Second Line	:
City	:	DECATUR
State	:	IL
Zip	:	62526-4169
Country	:	US
Telephone Number	:	217-876-6640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2020
Last Update Date	:	09/01/2020

Similar Medicare Providers

1285638072 — DR. M STEPHEN HUSS M.D.
Practice Location Address:

304 W HAY ST , STE 213
DECATUR, IL
62526-4169

Practice Phone: 217-875-1518
Practice Fax: 217-875-9309

1477520955 — DR. KENNETH TUAN M.D.
Practice Location Address:

304 W HAY ST STE 218
DECATUR, IL
62526-4169

Practice Phone: 217-528-7541
Practice Fax:

1689698359 — DR. SUNDARARAJ R CHERALA MD
Practice Location Address:

304 W HAY ST STE 213
DECATUR, IL
62526-4169

Practice Phone: 217-876-6640
Practice Fax: 217-876-6645

1427323864 — FRANCESCO VETRI M.D. PH.D.
Practice Location Address:

304 W HAY ST STE 213
DECATUR, IL
62526-4169

Practice Phone: 217-876-6640
Practice Fax: 217-876-6645

1336905736 — SYDNEY GROHLER FNP-C
Practice Location Address:

304 W HAY ST STE 213
DECATUR, IL
62526-4169

Practice Phone: 217-876-6640
Practice Fax: 217-876-6645

1083957088 — EDWARD C ELLIOTT III
Practice Location Address:

2 MEMORIAL DR STE 305
DECATUR, IL
62526-3999

Practice Phone: 217-876-4830
Practice Fax: 217-876-8385

Directions to “ WHITNEY DONALDSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.