Individual
MR. RAIFORD PATRICK ROSSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 695-6252
(312) 695-5747
Mailing address
1649 W BALMORAL AVE APT 2, CHICAGO, IL 60640-1121
(803) 439-3600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209016509
IL
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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