Individual
DR. STASIA ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1875 DEMPSTER ST STE 625, PARK RIDGE, IL 60068-1137
(847) 723-7024
(847) 723-7369
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036146466
IL
Other
Enumeration date
04/04/2014
Last updated
09/02/2022
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