Individual
DR. JACK W ROSTAS III
Active
Individual
DR. JACK W ROSTAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
036143962
IL
2086X0206X
Surgical Oncology Physician
Primary
T5200
TX
Other
Enumeration date
05/22/2008
Last updated
08/17/2023
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