MEDICARE: DR. RIAN J ROWLES D.O.

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	2084P0800X	Psychiatry Physician	036110437	IL

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	:	1447398870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RIAN J ROWLES D.O.

Provider Business Mailing Address
First Line	:	14315 108TH AVE STE 215
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-5701
Country	:	US
Telephone Number	:	708-966-0993
Fax Number	:

Provider Business Practice Location Address
First Line	:	14315 108TH AVE STE 215
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-5701
Country	:	US
Telephone Number	:	708-966-0993
Fax Number	:

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	06/08/2016

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