Individual
DR. LUIS EDUARDO ROSAS-VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PHD
Contact information
Practice address
676 N SAINT CLAIR ST STE 1100, CHICAGO, IL 60611-2954
(312) 695-5060
(312) 695-5010
Mailing address
676 N SAINT CLAIR ST STE 1100, CHICAGO, IL 60611-2954
(312) 695-5060
(312) 695-5010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036161590
IL
2084P0800X
Psychiatry Physician
61478
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
11/14/2022
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