Individual
DR. CHARLES ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 S MERCER AVE STE E1, BLOOMINGTON, IL 61701-7107
(309) 662-7500
(309) 662-7333
Mailing address
1015 S MERCER AVE STE E1, BLOOMINGTON, IL 61701-7107
(309) 662-7500
(309) 662-7333
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036147903
IL
Other
Enumeration date
09/22/2006
Last updated
05/17/2019
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