Derrick E Rollo is a Pediatrics in Urbana, Illinois. Derrick E Rollo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Derrick E Rollo is 1881891471. The last update date is 2021-01-19.
Derrick E Rollo's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173836792. The mailing address for Derrick E Rollo is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick E Rollo |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2173836792 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1881891471 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2021-01-19 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2173836792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 125-051736 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201060370 | IN | -- | |
| 761884 | IN | ANTHEM PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Derrick E Rollo?
The Derrick E Rollo has been issued the NPI (National Provider Identifier) 1881891471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Derrick E Rollo?
The Derrick E Rollo is physically situated at 611 W Park St, in the city of Urbana, state of IL, with the postal code 618012529.
What is Derrick E Rollo's area of expertise and its corresponding taxonomy classification?
The Derrick E Rollo's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1881891471 assigned to Derrick E Rollo?
The Derrick E Rollo was issued its 1881891471 on 2007-06-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Derrick E Rollo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Derrick E Rollo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-19.