Individual
ALEXANDER R ROSC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN-CRNA
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
Mailing address
1230 W STEPHENSON ST, FREEPORT, IL 61032-4881
(815) 275-2463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041413905
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209021607
IL
Other
Enumeration date
04/08/2020
Last updated
09/27/2024
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