Organization
JANICE TAKATA ROSSI MD SC
Active
Organization
JANICE TAKATA ROSSI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE LOURENE TAKATA ROSSI (PRESIDENT)
(309) 263-6154
Entity
Organization
Contact information
Practice address
1600 SO FOURTH, STE 140, MORTON, IL 61550
(309) 263-6154
(309) 263-6111
Mailing address
1600 SO FOURTH, STE 140, MORTON, IL 61550
(309) 263-6154
(309) 263-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-065144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065144
—
IL
Enumeration date
07/14/2006
Last updated
12/06/2012
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