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Douglas Roosevelt, ND, LMT, EMT-P — NPI 1164211991, Bloomington, IL | NPI Central

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NPI 1164211991

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Douglas Roosevelt, ND, LMT, EMT-P

NPI 1164211991 · Naturopath · Bloomington, IL

Provider details

NPI number: 1164211991
Entity type: Individual
Primary specialty: NaturopathOther Service Providers
Credential: ND, LMT, EMT-P
Sex: Male
Sole proprietor: Yes

Practice location

301 S Prospect Rd Ste 1a

Bloomington, IL 61704-4909

Phone: (309) 531-4584

More IL providers

Mailing address

1223 Kenneth Dr

Bloomington, IL 61704-2587

Registry dates

Enumerated: 2025-05-06
Last updated: 2025-05-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.