Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036051469 | IL |
N | 208600000X | Surgeon | 036051469 | IL |
Y | 208D00000X | General Practice Physician | 036051469 | IL |
NPI | 1033157292 |
---|---|
Provider Name | Dr. Alfred Nello Rossi |
First Address | Hopedale, IL 61747-0267 |
Second Address | Hopedale, IL 61747-0267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 25/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036051469 | (05) | IL |
E10365 | (02) | IL |