Individual
DR. MARK KIPLAGAT ROTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 DANIELLE CT, MARION, IL 62959-1545
(618) 751-7373
(573) 240-9966
Mailing address
1401 DANIELLE CT, MARION, IL 62959-1545
(618) 751-7373
(573) 240-9966
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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