Individual
DR. RICHARD ROTNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1715 N DIVISION ST STE A, MORRIS, IL 60450-3122
(815) 942-1550
(815) 942-8419
Mailing address
1715 N DIVISION ST STE A, MORRIS, IL 60450-3122
(815) 942-1550
(815) 942-8419
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036082778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082778
—
IL
01
—
100010274
RAILROAD MEDICARE
IL
Enumeration date
07/29/2006
Last updated
03/04/2025
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