Individual
CHRISTOPHER GEORGE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 400, CHICAGO, IL 60631-3745
(847) 965-3200
(847) 965-3270
Mailing address
25070 NETWORK PL, CHICAGO, IL 60673-1250
(847) 585-7000
(847) 240-9093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036061232
IL
207RH0003X
Hematology & Oncology Physician
Primary
036061232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363387138
TAX IDENTIFICATION NUMBER
IL
01
—
363980044
TAX ID#
IL
Enumeration date
07/18/2005
Last updated
10/10/2013
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