Individual
JOHN MARTIN ROSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036070998
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036070998
IL
314000000X
Skilled Nursing Facility
036-070998
IL
Other
Enumeration date
03/11/2009
Last updated
12/30/2013
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