Pamela Anne Wilcoxen Rose

Address: 4617 N Prospect Rd, Suite 4, Peoria Heights, IL 61616-6474
Phone: 3096858071

Pamela Anne Wilcoxen Rose (NPI# 1629140660, PAC ID# 9234230210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1629140660
PAC ID by PECOS 9234230210
Professional Enrollment ID I20070720000157
Full Name Pamela Anne Wilcoxen Rose
Address 4617 N Prospect Rd
Suite 4
Peoria Heights
IL 61616-6474
Phone Number 3096858071
Gender F
Medical School PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 1989
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
4617 N Prospect Rd, Suite 4, Peoria Heights, IL 61616-6474 3096858071
4617 N Prospect Rd, Peoria Heights, IL 61616-6474 3096858071

Organization Information

Office Location

Street Address 4617 N PROSPECT RD
SUITE 4
City PEORIA HEIGHTS
State IL
Zip 61616-6474

Physicians with the same location

Name Specialty Organization Address
Melvin C Rose CHIROPRACTIC 4617 N Prospect Rd, Peoria Heights

Competitor

Search similar physicians

City PEORIA HEIGHTS
Zip Code 61616
Specialty CHIROPRACTIC
City + Specialty PEORIA HEIGHTS + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.