Dr. Phillip Joseph Rossi
Surgeon General Practice Physician Vascular Surgeon
107 Tremont St Medical Arts Physicians
Hopedale
, Illinois 61747-0267
Dr. Phillip Joseph Rossi
Surgeon General Practice Physician Vascular Surgeon
107 Tremont St Medical Arts Physicians
Hopedale
, Illinois 61747-0267
(309) 449-4488
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Phillip Joseph Rossi
- Po Box 267 107 Tremont St
- Hopedale, IL
- Zip : 61747-0267
- Fax : (309) 449-4488
- Phone : (309) 449-4450
Second Address
- Dr. Phillip Joseph Rossi
- 107 Tremont St Medical Arts Physicians
- Hopedale, IL
- Zip : 61747-0267
- Fax : (309) 449-4488
- Phone : (309) 449-4450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036088911 | IL |
| N | 208600000X | Surgeon | 036088911 | IL |
| N | 2086S0129X | Vascular Surgeon | 036088911 | IL |
| Y | 208D00000X | General Practice Physician | 036088911 | IL |
National Provider Identifier
| NPI | 1114965225 |
|---|---|
| Provider Name | Dr. Phillip Joseph 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 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036088911 | (05) | IL |
| F69200 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.