Search › Illinois › 163W00000X
Oswarld Rusibamayila
NPI 1528575248 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1500 W Northmoor Rd
Peoria, IL 61614 - Phone
- (309) 691-2200
- Organisation at this address
- Peoria Nh Llc
Bravo Care Of Peoria Inc
Rosewood Care Center, Inc Of Peoria
The Loft Rehabilitation Of Peoria LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163W00000X
163W00000X - Licence states on file
- TX, GA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-03
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