Rot, Clifford W.
Rot, Clifford W. is an sole proprietor health care provider with primary practice located at 2604 Dempster St Suite 510, Park Ridge IL 60068-8412. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rot, Clifford W. can be contacted via phone (847) 910-0182.Contact Information
Primary practice address
2604 Dempster St Suite 510
Park Ridge IL 60068-8412
Phone: (847) 910-0182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-003583 | Illinois |
Profile Details
| NPI number | 1457351082 |
|---|---|
| LBN Legal business name | Rot, Clifford W. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jun 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457351082 | NPPES |
| Illinois | Other | 1673232 | BC/BS PPO PROVIDER |
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