Individual
DR. JOHNNY C ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
19841 WOLF RD, MOKENA, IL 60448-1315
(708) 479-0790
(708) 479-0792
Mailing address
19841 WOLF RD, MOKENA, IL 60448-1315
(708) 479-0790
(708) 479-0792
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005327
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016005327
LICENSE
IL
01
—
01620925
BCBS
IL
01
—
07001066A
LICENSE
IN
01
—
P00651652
RAILROAD MEDICARE
IN
Enumeration date
04/09/2008
Last updated
03/07/2023
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