Individual
DR. ERNEST C ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 N WELLS ST, CHICAGO, IL 60610-3714
(312) 266-0404
(312) 266-8169
Mailing address
1050 W COOLIDGE AVE, CHARLESTON, IL 61920-3868
(217) 254-1191
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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