Rhode, Clarissa
Rhode, Clarissa is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Rhode, Clarissa can be contacted via phone (309) 655-2000.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 655-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-086691 | Illinois |
Profile Details
NPI number | 1326026030 |
---|---|
LBN Legal business name | Rhode, Clarissa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2006 |
Last updated | Jan 23rd, 2024 - about 11 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326026030 | NPPES |
Illinois | Other | 0007222342 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 056202 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 370947902 | BLUE CROSS BLUE SHIELD |
Illinois | MEDICAID | 036086691-1 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 296047 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 3533684 | BLUE CROSS BLUE SHIELD |
Illinois | Other | IL0100 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 300065444 | BLUE CROSS BLUE SHIELD |
Popular Providers
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Nathan, David H
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