Organization · Type 2 NPI

Rose of Sharon MC LLC

Family Nurse Practitioner · Roselle, IL

NPI number 1164041372 Active

Practice location

1085 Flamingo Dr
Roselle, IL 60172-4731

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1164041372

Rose of Sharon MC LLC's National Provider Identifier is 1164041372, issued on Apr 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roselle, IL. The record was last updated on Apr 9, 2020.