Individual
DR. PAUL E ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 N WALL ST STE P420, KANKAKEE, IL 60901-3406
(815) 932-0911
(815) 932-0631
Mailing address
375 N WALL ST STE P420, KANKAKEE, IL 60901-3406
(815) 932-0911
(815) 932-0631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036076921
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020011942
RAILROAD MEDICARE
IL
05
—
036076921
—
IL
01
—
123451234567
HEALTHLINK INC PPO ID
IL
01
—
276853600
OWCP PROVIDER ID
IL
01
—
4615036
BCBS PROVIDER ID
IL
Enumeration date
04/25/2006
Last updated
08/29/2019
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