Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kristopher Carson Rosburg, MD

Individual provider Pediatrics Physician · NPI 1578829321

Dr. Kristopher Carson Rosburg, MD is a Pediatrics Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637
Phone: (309) 677-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 036.149648 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036.149648 (IL)

Record details

NPI number1578829321
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2012
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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