Rodby, Roger

Rodby, Roger is an individual health care provider with primary practice located at 1426 W Washington Blvd , Chicago IL 60607-1821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rodby, Roger can be contacted via phone (312) 829-1424.

Contact Information

Primary practice address
1426 W Washington Blvd Chicago IL 60607-1821
Phone: (312) 829-1424
Fax: (312) 850-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036070596 Illinois

Profile Details

NPI number 1043327927
LBN Legal business name Rodby, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Sep 25th, 2012 - about 14 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 1043327927 NPPES
Illinois Other 01615381 BC/BS ID NUMBER
Illinois MEDICAID 036070596 BC/BS ID NUMBER
Illinois Other 110042308 BC/BS ID NUMBER

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