Individual
DR. MATTHEW BRANDL ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 TREMONT ST, MEDICAL ARTS PHYSICIANS, HOPEDALE, IL 61747-0267
(309) 449-4450
(309) 449-4488
Mailing address
PO BOX 267, 107 TREMONT ST, HOPEDALE, IL 61747-0267
(309) 449-4450
(309) 449-4488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036082575
IL
2086S0129X
Vascular Surgery Physician
036082575
IL
208D00000X
General Practice Physician
Primary
036082575
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082575
—
IL
Enumeration date
06/02/2006
Last updated
03/25/2011
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