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Individual

DR. ALFRED NELLO ROSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
107 TREMONT ST, MEDICAL ARTS PHYSICIANS, HOPEDALE, IL 61747-0267
(309) 449-4450
(309) 449-4488
Mailing address
PO BOX 267, 107 TREMONT ST, HOPEDALE, IL 61747-0267
(309) 449-4450
(309) 449-4488

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036051469
IL
208D00000X
General Practice Physician
Primary
036051469
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036051469
IL
Enumeration date
06/02/2006
Last updated
03/25/2011
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