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Contact Information

JANICE TAKATA ROSSI MD SC
1600 SO FOURTH
STE 140
MORTON, IL61550
 Phone: 309-263-6154
 Fax: 309-263-6111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JANICE TAKATA ROSSI MD SC · (Female)

NPI Number 1326064296
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2006
Last updated 12/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036-065144
  • IL Medicaid 036065144
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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