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Individual

DR. THOMAS R. ROSSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 MAIN STREET, 3RD FLOOR, PEORIA, IL 61606-2037
(309) 495-0200
Mailing address
1001 MAIN STREET, SUITE 300, PEORIA, IL 61606
(309) 495-0200
(309) 676-6545

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036065169
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036065169
IL
01
7215166
BCBS
IL
Enumeration date
06/30/2006
Last updated
01/03/2013
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