Individual
DR. NICHOLAS BRANDL ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4338
Mailing address
107 TREMONT ST, HOPEDALE, IL 61747-7525
(309) 449-4338
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036148044
IL
207T00000X
Neurological Surgery Physician
R2722
TX
Other
Enumeration date
06/03/2011
Last updated
07/21/2022
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