Individual
CLEMENT S ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5025 N PAULINA ST STE 501, CHICAGO, IL 60640-2772
(773) 599-4363
(773) 599-4788
Mailing address
5025 N PAULINA ST STE 501, CHICAGO, IL 60640-2772
(773) 599-4363
(773) 599-4788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036069325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069325
—
IL
Enumeration date
10/06/2005
Last updated
12/24/2025
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