IndividualActive
Rex Rizaldo, APRN
NPI 1053022202 · Critical Care Medicine Nurse Practitioner · Springfield, IL
Provider details
- NPI number
- 1053022202
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 209.026502 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
619 E Mason St Ste 4p57
Springfield, IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Approximate (ZIP-level) locationGet directions
Mailing address
619 E Mason St Ste 4p57
Springfield, IL 62701-1034
Additional practice locations (1)
- 701 N 1st StSpringfield, IL 62781-0001Phone: (217) 788-3000Fax: (217) 606-3057
Registry dates
- Enumerated
- 2022-12-08
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.