Individual
MARIO C. ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2619 S LAWNDALE AVE, FRONT, CHICAGO, IL 60623-4520
(773) 522-2620
(773) 522-2641
Mailing address
2619 S LAWNDALE AVE, FRONT, CHICAGO, IL 60623-4520
(773) 522-2620
(773) 522-2641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036074065
IL
Other
Enumeration date
11/06/2006
Last updated
09/28/2018
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