Elizabeth Ann Rose, DO

Pediatrics Physician · Peoria, IL

Individual Active NPI

NPI number 1205123734

Practice location

320 E Armstrong Ave
Peoria, IL 61603
Phone
(309) 680-7600
Fax
(309) 495-8614

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NPI record

NPI
1205123734
Entity type
Individual (Type 1)
Enumeration date
July 5, 2011
Last updated
October 9, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036-134395 IL

Mailing address

2214 N University St
Peoria, IL 61604
Phone
(309) 680-7634
Fax
(309) 676-5506

About Dr. Rose

Elizabeth Ann Rose, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 320 E Armstrong Ave, Peoria, IL 61603. The NPI number 1205123734 was assigned on July 5, 2011 and the record was last updated on October 9, 2014.

Dr. Rose lists a license in the registry: #036-134395 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elizabeth Ann Rose, DO?

The NPI number is 1205123734.

What is the phone number of Dr. Rose?

The phone number listed for the practice location is (309) 680-7600.

Where is Dr. Rose located?

320 E Armstrong Ave, Peoria, IL 61603.

What is the taxonomy code for Dr. Rose?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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