Gottfried, Rhoda Jean

Gottfried, Rhoda Jean is an individual health care provider with primary practice located at 3024 E Empire St 2Nd Floor Suite A, Bloomington IL 61704-5402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Gottfried, Rhoda Jean can be contacted via phone (309) 556-7800.

Contact Information

Primary practice address
3024 E Empire St 2Nd Floor Suite A Bloomington IL 61704-5402
Phone: (309) 556-7800
Fax: (309) 556-7804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036.131825 Illinois

Profile Details

NPI number 1922212638
LBN Legal business name Gottfried, Rhoda Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Oct 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922212638 NPPES
Maryland MEDICAID 036482700

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