Dr. Derrick E Rollo
D.O. | Pediatrics | Male
Dr. Derrick E Rollo, D.O. is a Urbana, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Derrick E Rollo is
611 W Park St, Urbana, Illinois - 61801-2529. He can be contacted on phone at
217-383-3311 and fax number 217-383-3463.
Dr. Derrick E Rollo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Derrick E Rollo is
1881891471 which was assigned by NPPES on 28 Jun, 2007 and it was last updated on 19 Jan, 2021.
Dr. Derrick E Rollo license number is
036122306 for Pediatrics (208000000X) in Illinois.
Dr. Derrick E Rollo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Derrick E Rollo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Derrick E Rollo |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Dr. Derrick E Rollo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 611 W Park St
Urbana, IL, 61801-2529
United States |
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| Phone Number : | 217-383-3311 |
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| Fax Number : | 217-383-3463 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881891471 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jun, 2007 |
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| Last Updated On : | 19 Jan, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Derrick E Rollo are as mentioned. Primary taxonomy code for Dr. Derrick E Rollo, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036122306 | IL |
| 208000000X | Pediatrics | No | 125-051736 | IL |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 02004004A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Derrick E Rollo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000761884 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201060370 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 611 W Park St, Bwpc
Urbana, IL, 61801-2529
United States |
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| Phone Number : | 217-383-6792 |
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Business Location:
Patients can refer following map for directions to
Dr. Derrick E Rollo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.