Rhode, Clarissa

Rhode, Clarissa is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Rhode, Clarissa can be contacted via phone (309) 655-2000.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-0001
Phone: (309) 655-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-086691 Illinois

Profile Details

NPI number 1326026030
LBN Legal business name Rhode, Clarissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jan 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326026030 NPPES
Illinois Other 0007222342 BLUE CROSS BLUE SHIELD
Illinois Other 056202 BLUE CROSS BLUE SHIELD
Illinois Other 370947902 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036086691-1 BLUE CROSS BLUE SHIELD
Illinois Other 296047 BLUE CROSS BLUE SHIELD
Illinois Other 3533684 BLUE CROSS BLUE SHIELD
Illinois Other IL0100 BLUE CROSS BLUE SHIELD
Illinois Other 300065444 BLUE CROSS BLUE SHIELD

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