Organization
MARIO C. ROSAS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO C ROSAS M.D. (PRESIDENT)
(773) 522-2620
Entity
Organization
Contact information
Practice address
2619 S LAWNDALE AVE, FRONT, CHICAGO, IL 60623-4520
(773) 522-2620
(773) 522-2641
Mailing address
2619 S LAWNDALE AVE, FRONT, CHICAGO, IL 60623-4520
(773) 522-2620
(773) 522-2641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036074065
IL
Other
Enumeration date
01/18/2008
Last updated
06/14/2016
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