Individual
DR. JORDAN ANCELL ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1304 FRANKLIN AVE STE 380, NORMAL, IL 61761-3558
(309) 268-5130
(309) 268-5784
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036161073
IL
Other
Enumeration date
05/02/2019
Last updated
10/29/2025
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