Individual
DR. JAY TYLER ROHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 SAINT CLARE CT, WASHINGTON, IL 61571-9239
(309) 886-4000
Mailing address
10 SAINT CLARE CT, WASHINGTON, IL 61571-9239
(309) 886-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036135469
IL
208000000X
Pediatrics Physician
Primary
036.135469
IL
Other
Enumeration date
06/09/2010
Last updated
08/30/2015
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