Roch Andre Lefebvre, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036089921 Issued in IL

Practice address

9401 Holy Cross LN
Suite 112
Breese, IL 62230-3510

Phone

(618) 526-7271

Fax

(618) 526-7313

NPI assigned

Aug 30, 2006

Last updated

Sep 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1013027945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 HOLY CROSS LN",
            "address_2": "SUITE 112",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-7271",
            "fax_number": "618-526-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 HOLY CROSS LN",
            "address_2": "SUITE 112",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-7271",
            "fax_number": "618-526-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEBVRE",
        "first_name": "ROCH",
        "middle_name": "ANDRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036089921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089921",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Douglas Kuhl
• Douglas M. Kuhl, M.D.
• Jacqueline L. Kunz, RNC, NNP
• Karen Lager, MD
• Ryan Derek Lampe, PT/ATC
• Shanna M Litteken, PA-C
• Barbara M. Lunnemann-Sedivy, M.S. ED.
• Ulunna Kechinyere Macbean, M.D
• Osman Salih Mahdi Babikir, M.D.
• Amanda Lyn Marti, LPC

• Family Medicine Physician in Breese, IL
• Providers in Breese, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.