Individual
ELIZABETH ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
320 E ARMSTRONG AVE, PEORIA, IL 61603
(309) 680-7600
(309) 495-8614
Mailing address
2214 N UNIVERSITY ST, PEORIA, IL 61604
(309) 680-7634
(309) 676-5506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-134395
IL
Other
Enumeration date
07/05/2011
Last updated
10/09/2014
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