Individual
RUTH L ROSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1078 TESTA DR, JUSTICE, IL 60458-1273
(708) 612-4804
(708) 401-0153
Mailing address
1078 TESTA DR, JUSTICE, IL 60458-1273
(708) 612-4804
(708) 401-0153
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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