ROSENA CUSTODIO M.D.
NPI 1760578090
Pathology - Anatomic Pathology & Clinical Pathology in Danville, IL

NPI Status: Active since October 05, 2006

Contact Information

1900 E MAIN ST
DANVILLE, IL
ZIP 61832
Phone: (217) 554-5541

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  • Individual
  • Female
  • Pathology
  • Anatomic Pathology & Clinical Pathology

About ROSENA CUSTODIO

This page provides the complete NPI Profile along with additional information for Rosena Custodio, a provider established in Danville, Illinois with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1760578090 assigned on October 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301035393 (MI). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1760578090
Provider Name
ROSENA CUSTODIO M.D.
Gender
Female
Entity Type
Individual
Location Address
1900 E MAIN ST DANVILLE, IL 61832
Location Phone
(217) 554-5541
Mailing Address
38 BLUE STAR HWY DANVILLE, IL 61832
Is Sole Proprietor?
No
Enumeration Date
10-05-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
4301035393
License State
MI
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760578090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712010716018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 7 + 1 + 6 + 0 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1760578090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. DONALD CRAIG TIGCHELAAR D.D.S.

Dentist

1900 E MAIN ST
VA ILLIANA HEALTHCARE SYSTEM
DANVILLE, IL
ZIP 61832

(217) 554-4516

DR. KOLALA VASUDEVAMURTHY M.D.

Internal Medicine

(Cardiovascular Disease)

1900 E MAIN ST
VA ILLIANA HCS
DANVILLE, IL
ZIP 61832

(217) 554-5495

MR. WAYNE THOMAS WING PA-C

Physician Assistant

(Surgical)

1900 E MAIN ST
SURGICAL SERVICE
DANVILLE, IL
ZIP 61832

(217) 554-5467

MRS. BETH PERALTA MS, RD, LDN

Dietitian, Registered

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-3000

MRS. SUSAN M ROBERTS M.A., CCC-SLP

Speech-Language Pathologist

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-5621

GARY ALAN VANHUYSEN OTR

Occupational Therapist

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-5243

KATHERINE JOANNE GOOD RIGGS RPT

Physical Therapist

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-5231

MS. MONICA G GRANT MA, CCC-A, FAAA

Audiologist

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-4522

DR. LINDA BLACK SHUMAKER PHARMD

Pharmacist

1900 E MAIN ST
119
DANVILLE, IL
ZIP 61832

(217) 554-4239

DR. JON GEORGE LEGRANT PHARM.D.

Pharmacist

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-5342

DR. ANDREW E SCHAEFER PHARM.D.

Pharmacist

(Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1900 E MAIN ST
OUTPATIENT PHARMACY
DANVILLE, IL
ZIP 61832

(217) 554-4264

MS. DARLENE L ETTER L.C.S.W

Social Worker

(Clinical)

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 442-8000

KIMBERLY ANN KELLEY MSW,LCSW

Social Worker

(Clinical)

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-5137

MR. THOMAS F SHUMAKER PRH

Pharmacist

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-3128

MRS. SUSAN L VENTER LMSW

Social Worker

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-5527

DR. ANIL B GOPINATH MD

Internal Medicine

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-3000

MRS. JUDITH ANN PHILLIPPE LCSW

Social Worker

(Clinical)

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-4867

DR. WILLIAM MICHAEL KENNY M.D.

Specialist

1900 E MAIN ST
1900 E. MAIN STREET
DANVILLE, IL
ZIP 61832

(217) 442-8000

DR. RICHARD C. SHEPHERD PH.D.

Psychologist

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(309) 497-0790

PATRICIA L TODD APN, CNP

Nurse Practitioner

1900 E MAIN ST
DANVILLE, IL
ZIP 61832

(217) 554-3173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760578090, enumerated as an "individual" on October 05, 2006.

The provider is located at 1900 E MAIN ST DANVILLE, IL 61832 and the phone number is (217) 554-5541.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.