Organization
ROSE MEDICAL ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST C. ROSE MD (MEDICAL DIRECTOR / CEO)
(309) 686-1600
Entity
Organization
Contact information
Practice address
209 W ROMEO B GARRETT AVE, PEORIA, IL 61605-2502
(309) 686-1600
(309) 686-1605
Mailing address
209 W ROMEO B GARRETT AVE, PEORIA, IL 61605-2502
(309) 686-1600
(309) 686-1605
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
036-059239
IL
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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