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Individual

RICHARD ROSSEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1801 S HIGHLAND AVE STE 220, LOMBARD, IL 60148-4932
(630) 790-1872
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036087958
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036087958
IL
Enumeration date
03/08/2006
Last updated
08/31/2023
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