Janice Takata Rossi MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-065144 Issued in IL

Legal business name

JANICE TAKATA ROSSI MD SC

Practice address

1600 So Fourth
Ste 140
Morton, IL 61550

Phone

(309) 263-6154

Fax

(309) 263-6111

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Janice Lourene Takata RossiNPI 1417144577

Title

President

Phone

(309) 263-6154

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice L. Takata Rossi, MD

  • Internal Medicine Physician
  • Morton, IL
  • NPI 1417144577
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1326064296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SO FOURTH",
            "address_2": "STE 140",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "61550",
            "telephone_number": "309-263-6154",
            "fax_number": "309-263-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SO FOURTH",
            "address_2": "STE 140",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "61550",
            "telephone_number": "309-263-6154",
            "fax_number": "309-263-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE TAKATA ROSSI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "TAKATA ROSSI",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "LOURENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-263-6154"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-065144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065144",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Lee Howell, LCPC
• Tiffani Hunsinger
• Icon Medical Supplies
• Mary Katherine Imig, DO
• Integrated Family Therapy of Illinois, PLLC
• Jefferson Street Clinic, SC
• Christopher Reavis Johnson, M.D.
• Michelle Johnson
• William C Johnson, D.D.S.
• Ryan P Jones, P. T.

• Internal Medicine Physician in Morton, IL
• Providers in Morton, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.