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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457351082 NPPES
Illinois Other 1673232 BC/BS PPO PROVIDER

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