Provider Demographics
NPI:1770506784
Name:TOPE, WHITNEY D (MD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:D
Last Name:TOPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 SPRINGER DR
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6413
Mailing Address - Country:US
Mailing Address - Phone:815-744-8554
Mailing Address - Fax:
Practice Address - Street 1:6545 FRANCE AVE S STE 564
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2125
Practice Address - Country:US
Practice Address - Phone:952-746-6090
Practice Address - Fax:952-224-1204
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN38930207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN390822400Medicaid
070000288Medicare ID - Type Unspecified
F37118Medicare UPIN