MEDICARE: RODNEY ALFORD M.D.

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
1	208000000X	Pediatrics Physician	036068108	IL
2	207R00000X	Internal Medicine Physician	036068108	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	F400228048	OTHER	IL	MEDICARE ID IROQUOIS MEMORIAL HOSPITAL
3	F400228052	OTHER	IL	MEDICARE ID IMH MULTISPECIALTY PHYSICIANS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427128909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY ALFORD M.D.

Provider Business Mailing Address
First Line	:	200E FAIRMAN AVE
Second Line	:
City	:	WATSEKA
State	:	IL
Zip	:	60970-1644
Country	:	US
Telephone Number	:	815-432-5841
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N WALL ST
Second Line	:	SUITE 206
City	:	KANKAKEE
State	:	IL
Zip	:	60901-2934
Country	:	US
Telephone Number	:	815-937-2044
Fax Number	:	815-937-2029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	01/05/2021

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Directions to “ RODNEY ALFORD M.D.” Practice Location

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