SearchIllinois390200000X

Mark Rosenkoetter

NPI 1558061408 · on the registry since 2023

Practice

Address
8 Executive Dr Ste 200
Fairview Heights, IL 62208
Phone
(618) 688-4727
Organisation at this address
Bandys Apothecary Shops Inc
Hoyleton Youth And Family Services
Vitas Healthcare Corporation Midwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-08

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