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NPI Code Detail

MEDICARE: AMY LYNN ROHLFING MD

MEDICARE: AMY LYNN ROHLFING MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician0361134383IL
2207RG0300XGeriatric Medicine (Internal Medicine) Physician036113483IL

General Provider Information

NPI Number : 1255335188
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNN ROHLFING MD
Provider Business Mailing Address
First Line : 325 SPRING ST
Second Line :
City : RED BUD
State : IL
Zip : 62278-1105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 SPRING ST
Second Line :
City : RED BUD
State : IL
Zip : 62278-1105
Country : US
Telephone Number : 618-282-7373
Fax Number : 618-282-7376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/19/2023

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