Individual
MARIEL SEBASTIANA ROGOZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MSA, MSMED, EMT
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2109
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036179773
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2023
Last updated
04/21/2026
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