Individual
SHAWN MARSHALL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
251 E HURON, CHICAGO, IL 60611-2908
(312) 695-8628
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 695-8628
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125053447
IL
Other
Enumeration date
12/26/2007
Last updated
08/19/2010
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