Search › Illinois › 175F00000X
Douglas Roosevelt, ND, LMT, EMT-P
NPI 1164211991 · on the registry since 2025 · sole proprietor
Practice
- Address
- 301 S Prospect Rd Ste 1a
Bloomington, IL 61704 - Phone
- (309) 531-4584
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois