ROSE OF SHARON MC LLC NPI 1164041372

NPI Information

NPI: 1164041372
Provider Name: ROSE OF SHARON MC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1085 FLAMINGO DR
ROSELLE, IL
ZIP 60172
Phone: (847) 877-8549
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ROSE OF SHARON MC LLC is a family nurse practitioner in Roselle, IL. ROSE OF SHARON MC LLC NPI is 1164041372. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1085 FLAMINGO DR
ROSELLE, IL
ZIP 60172-731
Phone: (847) 877-8549

The provider's authorized official is Reena Blesson .
The authorized official title is Owner and has the following contact phone number (847) 877-8549.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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