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

Mark Allen Rosenkoetter Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558061408

Mark Allen Rosenkoetter Jr. is a Student in an Organized Health Care Education/Training Program in Fairview Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350
Phone: (618) 688-4727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1558061408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

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