Individual
MICHELLE BEASON ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24600 W 127TH ST STE 340, PLAINFIELD, IL 60585-9507
(815) 731-9110
(815) 731-9110
Mailing address
24600 W 127TH ST STE 340, PLAINFIELD, IL 60585-9507
(815) 731-9110
(815) 731-9110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006495
IL
Other
Enumeration date
01/29/2018
Last updated
04/07/2021
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