Individual
DR. MELVIN C ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4410 N KNOXVILLE AVE STE E, PEORIA, IL 61614-6083
(309) 685-8071
Mailing address
4410 N KNOXVILLE AVE STE E, PEORIA, IL 61614-6083
(309) 685-8071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-002925
IL
Other
Enumeration date
11/14/2006
Last updated
10/07/2019
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