Organization · Type 2 NPI
Rose Medical Association, Inc.
Addiction Medicine (Psychiatry & Neurology) Physician · Peoria, IL
NPI number
1144741844
Active
Practice location
209 W Romeo B Garrett Ave
Peoria, IL 61605-2502
Fax (309) 686-1605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | 036-059239 (IL) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1144741844
Rose Medical Association, Inc.'s National Provider Identifier is 1144741844, issued on Jul 3, 2017. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Peoria, IL. The record was last updated on Jul 21, 2022.