Organization
J.R. ROSSER, JR. D.C, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. ROSSER D.C. (OWNER)
(847) 741-6400
Entity
Organization
Contact information
Practice address
1276 W SPRING ST, SOUTH ELGIN, IL 60177-3304
(847) 741-6400
(847) 741-6926
Mailing address
1276 W SPRING ST, SUITE B, SOUTH ELGIN, IL 60177-3304
(847) 741-6400
(847) 741-6926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4515124
BCBS IL
IL
Enumeration date
11/21/2007
Last updated
01/21/2014
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