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Individual

DR. JANICE L. TAKATA ROSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
465 E. GREENWOOD, MORTON, IL 61550
(309) 265-4110
(309) 263-0156
Mailing address
465 E GREENWOOD, MORTON, IL 61550
(309) 265-4110
(309) 263-0156

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036065144
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036065144
IL
Enumeration date
10/02/2007
Last updated
12/15/2022
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