Provider Demographics
NPI:1417927658
Name:MCFARLIN, ROGER C (MD)
Entity Type:Individual
Prefix:
First Name:ROGER
Middle Name:C
Last Name:MCFARLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 ROUNTREE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62049-1509
Mailing Address - Country:US
Mailing Address - Phone:217-532-9471
Mailing Address - Fax:217-532-9476
Practice Address - Street 1:400 ROUNTREE ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:IL
Practice Address - Zip Code:62049-1509
Practice Address - Country:US
Practice Address - Phone:217-532-9471
Practice Address - Fax:217-532-9476
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36046053208D00000X
IL036046053207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
010012003OtherRAILROAD MEDICARE
IL036046053Medicaid
148917OtherRIVERBEND GOVERNMENT
IL44302OtherPERSONAL CARE
123302OtherHEALTHLINK
IL036046053001OtherMEDICAID RURAL HEALTH
IL6800048OtherBLUE CROSS BLUE SHIELD
IL44302OtherPERSONAL CARE
010012003OtherRAILROAD MEDICARE
123302OtherHEALTHLINK