Individual
DR. MARIO NATHANIEL ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1820 WINDSOR RD, LOVES PARK, IL 61111-4271
(815) 986-4411
Mailing address
1820 WINDSOR RD, LOVES PARK, IL 61111-4271
(815) 986-4411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013533
IL
Other
Enumeration date
03/11/2020
Last updated
11/16/2020
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