Healthcare Provider Details

I. General information

NPI: 1801393855
Provider Name (Legal Business Name): RODNEY CHRISTIAN GUISEPPI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 W DEYOUNG ST
MARION IL
62959-4437
US

IV. Provider business mailing address

1500 CARDINAL DR
MARION IL
62959-6470
US

V. Phone/Fax

Practice location:
  • Phone: 618-993-5686
  • Fax:
Mailing address:
  • Phone: 618-993-5686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number036.166365
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: