Rosena Custodio, MD | |
1900 E Main St, Danville, IL 61832-5100 | |
(217) 554-5541 | |
Not Available |
Full Name | Rosena Custodio |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1900 E Main St, Danville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760578090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301035393 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Rosena Custodio, MD 38 Blue Star Hwy, Danville, IL 61832-6100 Ph: () - | Rosena Custodio, MD 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-5541 |
Dorothy Kurylo, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5534 | |
Edward C Farkas, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 Fax: 217-477-2722 | |
William Roberts, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 |