Individual
DR. ILANA SHAINA ROSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, DIV IM DERMATOLOGY, STE 502, SAINT LOUIS, MO 63108-1495
(314) 273-3376
(888) 665-8309
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-3376
(888) 665-8309
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2012011931
MO
207ND0900X
Dermatopathology Physician
2012011931
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004442
—
MO
Enumeration date
06/19/2008
Last updated
04/17/2025
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