Individual
TRENTON REXROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
2184 E 100 NORTH RD, BEECHER CITY, IL 62414-1050
(217) 663-0482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.418914
IL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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