Search › Illinois › 207V00000X
Theresa Rose, D.O
NPI 1174732770 · on the registry since 2007
Practice
- Address
- 900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045 - Phone
- (847) 535-7057
- Fax
- (847) 615-2260
- Organisation at this address
- James E Jupa Md Sc
Pediatrust, L.L.C.
Bormes Urology, S.C.
Envision Eye Center Ltd
North Shore RheumatologyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Additional practice sites
- 355 Ridge Ave, Evanston, IL
- 7380 N Lincoln Ave, Lincolnwood, IL
- 800 Austin St Ste 354, Evanston, IL
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
363LW0102X - Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois