Theresa L. Rose, D.O.
Obstetrics & Gynecology · Lake Forest, IL
UnclaimedD.O.NPI 1174732770
- Primary taxonomy
- 207V00000X
- Enumerated
- 2007-05-21
- Practice location
- Lake Forest, IL
- Last NPPES update
- 2019-07-23
State licenses
- FL · Osteopathic physician · NPPES self-reportedListed on NPI record
- IL · Osteopathic physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2018
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.