Traycoff, Roger B
Traycoff, Roger B is an individual health care provider with primary practice located at 2901 Old Jacksonville Rd , Springfield IL 62704-7437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Traycoff, Roger B can be contacted via phone (217) 698-9722.Contact Information
Primary practice address
2901 Old Jacksonville Rd
Springfield IL 62704-7437
Phone: (217) 698-9722
Fax: (217) 391-0392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036051951 | Illinois |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 036051951 | Illinois |
Profile Details
| NPI number | 1528078540 |
|---|---|
| LBN Legal business name | Traycoff, Roger B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Dec 16th, 2011 - about 14 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 | 1528078540 | NPPES |
| Illinois | Other | CATERPILLAR | 6394P |
| Illinois | Other | 036051951 | 6394P |
| Illinois | Other | 194883 | 6394P |
| Illinois | Other | 14D0949277 | 6394P |
| Illinois | Other | 08421024 | 6394P |
| Illinois | Other | 206164 | 6394P |
| Illinois | Other | 020057300 | 6394P |
| Illinois | Other | CD7143 | 6394P |
| Illinois | Other | P00144541 | 6394P |
| Illinois | Other | 029224 | 6394P |
| Illinois | MEDICAID | 036051951 | 6394P |
| Illinois | Other | 133586700 | 6394P |
Popular Providers
-
Dorsey, J Kevin
751 N Rutledge St , Springfield IL 62702-4909 -
Chauhan, Krati
751 N Rutledge St Suite 2300, Springfield IL 62702-4968 -
Mukerji, Basanti
5850 S 6Th Street Rd , Springfield IL 62703-5162 -
Vazquez-Sanabria, Irma Lee
800 N 1St St , Springfield IL 62702-3719 -
Pick, Michael A.
800 N. 1St Street , Springfield IL 62702 -
Lenardo, Timothy M
800 N 1St St , Springfield IL 62702-3778 -
Stern, Mark A.
800 N. 1St Street , Springfield IL 62702 -
Horvath, Jeffrey R.
800 N. 1St Street , Springfield IL 62702