Individual
DR. PETER ROODHOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
Mailing address
1338 MOUND AVE, JACKSONVILLE, IL 62650-2252
(217) 243-4835
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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