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Individual

DR. MARK KIPLAGAT ROTICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036114602
IL
207R00000X
Internal Medicine Physician
036-114602
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036114602
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2004001657
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036114602
IL
05
036114602-7
IL
05
7100154060
KY
Enumeration date
07/25/2006
Last updated
01/14/2026
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