Takata Rossi, Janice L.
Takata Rossi, Janice L. is an sole proprietor health care provider with primary practice located at 465 E. Greenwood , Morton IL 61550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Takata Rossi, Janice L. can be contacted via phone (309) 265-4110.Contact Information
Primary practice address
465 E. Greenwood
Morton IL 61550
Phone: (309) 265-4110
Fax: (309) 263-0156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036065144 | Illinois |
Profile Details
| NPI number | 1417144577 |
|---|---|
| LBN Legal business name | Takata Rossi, Janice L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Dec 15th, 2022 - about 2 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 | 1417144577 | NPPES |
| Illinois | MEDICAID | 036065144 |
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