Individual
DR. ROSEWELL VALENTINO MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CARPENTER STREET, PEORIA, IL 61637-1853
(217) 544-6464
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
(309) 740-7479
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125066112
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036148230
IL
Other
Enumeration date
01/27/2015
Last updated
11/27/2023
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