Individual
DR. MARVIN A ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1725 W HARRISON ST, # 1106 UNIVERSITY NEUROLOGISTS RUMC, CHICAGO, IL 60612-3841
(312) 942-4500
(312) 942-2380
Mailing address
1653 W CONGRESS PKWY, # 348 MURDOCK UNIVERSITY NEUROLOGISTS RUMC, CHICAGO, IL 60612-3833
(312) 942-5939
(312) 924-2238
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036106025
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106025
—
IL
01
—
336068434
CT SUBSTANCE IL DEPT OF P
IL
Enumeration date
09/27/2005
Last updated
03/07/2023
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