Individual
JOHN MARTIN ROSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1711 SHAW WOODS DR., ROCKFORD, IL 61107-1725
(815) 490-5787
Mailing address
1711 SHAW WOODS DR., ROCKFORD, IL 61107-1725
(815) 490-5787
(866) 725-0972
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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