ELIZABETH A. ROSE DO – NPI #1205123734
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

ELIZABETH ROSE is a physician located in PEORIA, IL. NPPES has assigned the NPI number 1205123734 to ELIZABETH ROSE on July 05, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name ELIZABETH ANN MICKALICH. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Oct 09, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELIZABETH ROSE below.

NPI Profile for
ELIZABETH A. ROSE

NPI Number
1205123734
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELIZABETH A. ROSE
Former Name: ELIZABETH ANN MICKALICH
Credentials
DO
Primary location
320 E ARMSTRONG AVE
PEORIA, IL 61603
Phone: (309) 680-7600 Fax: (309) 495-8614
Mailing address
2214 N UNIVERSITY ST
PEORIA, IL 61604
Phone: (309) 680-7634 Fax: (309) 676-5506
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
IL 036-134395

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.