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1760439962
PETER ROODHOUSE
JACKSONVILLE, IL
NPI
1760439962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036053527)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
Dr. PETER ROODHOUSE M.D.
1600 W WALNUT ST
JACKSONVILLE, IL 62650-1136
Phone number: 217-245-9541
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Mailing Address
Dr. PETER ROODHOUSE M.D.
1338 MOUND AVE
JACKSONVILLE, IL 62650-2252
Phone number: 217-243-4835
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