Individual
DAVID R ROOZEBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-6675
(630) 933-2614
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-6675
(630) 933-2614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209001543
IL
367500000X
Certified Registered Nurse Anesthetist
28152566A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248211
ANTHEM BCBS
IN
05
—
200373590A
—
IN
01
—
7066465
AETNA
IN
Enumeration date
05/13/2006
Last updated
12/29/2023
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