Individual
DR. MARK A ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 N WABASH AVE STE 919, CHICAGO, IL 60602-1932
(312) 641-2572
(312) 641-6621
Mailing address
111 N WABASH AVE STE 919, CHICAGO, IL 60602-1932
(312) 641-2572
(312) 641-6621
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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