PAULA WHITE PROCK (MD) – Obstetrics & Gynecology Physician, NPI 1619941762

PAULA WHITE PROCK (MD) is a healthcare provider. based in Maywood, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036107273 (IL). The NPI Number for PAULA WHITE PROCK (MD) is 1619941762

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
PAULA WHITE PROCK (MD)
NPI
1619941762
Phone
(708) 216-8563
Address
2160 S FIRST AVE
Enumeration Date
15 February 2006
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7082169000
Graduation Year
1999 (27 years ago)
PAC ID
1153314828
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20040407000873
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
pwhiteprock23856@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,925 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for PAULA WHITE PROCK (MD)

  • 2160 S FIRST AVE

    MAYWOOD, IL 60153

    Phone: (708) 216-8563

    Fax: (630) 953-6655

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040407000873IObstetrics/GynecologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3127$0
99212Established patient office or other outpatient visit, 10-19 minutes1615$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1313$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779488903View full group profile

Reviews

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Frequently asked questions

Does PAULA WHITE PROCK (MD) have a public NPI I can cite?
Public records show PAULA WHITE PROCK (MD) under NPI 1619941762.
Should I treat PAULA WHITE PROCK (MD) as an active provider?
Patients and plans typically see PAULA WHITE PROCK (MD) as active in the national extract.
How should patients interpret PAULA WHITE PROCK (MD)'s specialty?
The extract shows Obstetrics & Gynecology Physician for PAULA WHITE PROCK (MD). Clinical services aligned with this taxonomy classification.
Is PAULA WHITE PROCK (MD) tied to Maywood, Illinois?
If you are local to Maywood, Illinois, PAULA WHITE PROCK (MD) may be relevant to your search.
Why is information missing for PAULA WHITE PROCK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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