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Rose Medical Association, Inc.
Addiction Medicine (Psychiatry & Neurology) Physician in Peoria, Illinois
NPI 1144741844

Rose Medical Association, Inc. is an Addiction Medicine (Psychiatry & Neurology) Physician based in Peoria, IL and is specialized in Addiction Medicine. Rose Medical Association, Inc. practices in Peoria, IL. The NPI Number for Rose Medical Association, Inc. is 1144741844 and holds a License No. 036-059239 (Illinois).

The current practice location address for Rose Medical Association, Inc. is 209 W Romeo B Garrett Ave, Peoria, IL and can be reached out via phone at 309-686-1600 and via fax at 309-686-1605.

Location: 209 W Romeo B Garrett Ave, Peoria, IL, 61605-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144741844
Provider Name
Rose Medical Association, Inc.
Credential
Provider Entity Type
Organization
Address
209 W Romeo B Garrett Ave, Peoria, IL, 61605-2502
Phone Number
309-686-1600
Fax Number
309-686-1605
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
209 W Romeo B Garrett Ave
City
Peoria
State
Illinois
Zip
61605-2502
Phone Number
309-686-1600
Fax Number
309-686-1605
person
Provider Business Mailing Address Details
Address
209 W Romeo B Garrett Ave
City
Peoria
State
Illinois
Zip
61605-2502
Phone Number
309-686-1600
Fax Number
309-686-1605
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
036-059239 (Illinois)
Definition
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
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