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Vanessa Soraya Rose

NPI Registration Record

Provider / OrganizationNPIDate Certified
VANESSA SORAYA ROSE17307163252020-06-28
Entity TypeIndividual
Provider NameDr. Vanessa Soraya Rose MD
Practice Office Address251 E HURON ST
CHICAGO, IL US
Practice Office Telephone3129262000
Mailing Address1475 E BELVIDERE RD UNIT 385
GRAYSLAKE, IL 600302026 US
Business Telephone8475357157
Business Fax3126940655
Offices / Locations
AddressCity / StatePhone / Fax
1475 E Belvidere Rd Unit 385 Grayslake, IL 600302026 8475357157 / 3126940655
1000 N Westmoreland Rd Lake Forest, IL 600451658 8472345600
HPT Codes
CodeLicense NoState
390200000X
207Q00000X PRIMARY125076426 IL
OPI Codes

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