ELIZABETH ANN ROSE

PEORIA, IL
NPI1205123734
Former NameELIZABETH ANN MICKALICH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-134395)
Enumeration Date2011-07-05
Last Update Date2014-10-09
Business Address
-- ELIZABETH ANN ROSE DO
320 E ARMSTRONG AVE
PEORIA, IL 61603
Phone number: 309-680-7600
Mailing Address
-- ELIZABETH ANN ROSE DO
2214 N UNIVERSITY ST
PEORIA, IL 61604
Phone number: 309-680-7634
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