Individual
DR. JENNIFER LYNN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-4000
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(605) 756-6278
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0.36112209
IL
207LP3000X
Pediatric Anesthesiology Physician
MD036803
DC
Other
Enumeration date
07/30/2007
Last updated
09/19/2025
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