Individual
CALEB RUMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 MAIN ST STE 720, PEORIA, IL 61602-5027
(309) 495-1640
Mailing address
900 MAIN ST STE 720, PEORIA, IL 61602-5027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125081776
IL
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
03/27/2023
Last updated
09/25/2023
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