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Organization

ENRICA ROSSI MD SC CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENRICA ROSSI (OWNER)
(312) 371-3588
Entity
Organization

Contact information

Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(312) 371-3588
Mailing address
333 W NORTH AVE, #290, CHICAGO, IL 60610-1293
(312) 371-3588

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036095803
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036095803
IL
Enumeration date
09/20/2006
Last updated
08/28/2014
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