Dr. Roger Sdao
Chiropractor Orthopedic Specialist
455 W. Stephenson St.
Freeport
, Illinois 61032
Dr. Roger Sdao
Chiropractor Orthopedic Specialist
455 W. Stephenson St.
Freeport
, Illinois 61032
(815) 297-1807
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Roger Sdao
- 455 W. Stephenson St.
- Freeport, IL
- Zip : 61032
- Phone : (815) 297-1807
Second Address
- Dr. Roger Sdao
- 455 W. Stephenson St.
- Freeport, IL
- Zip : 61032
- Fax : (815) 233-3379
- Phone : (815) 232-4217
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 038-009058 | IL |
National Provider Identifier
| NPI | 1699799346 |
|---|---|
| Provider Name | Dr. Roger Sdao |
| First Address | Freeport, IL 61032 |
| Second Address | Freeport, IL 61032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 30/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 08925958 | BLUE CROSS BLUE SHIELD # (01) | IL |
| 350049409 | MEDICARE RAILROAD (01) | IL |
| K13270 | MEDICARE MEMBER # (01) | IL |
| U84475 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.