IndividualActive
Elizabeth Rose, DO
NPI 1205123734 · Pediatrics Physician · Peoria, IL
Provider details
- NPI number
- 1205123734
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 036-134395 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 E Armstrong Ave
Peoria, IL 61603
Phone: (309) 680-7600
Fax: (309) 495-8614
Street-level locationGet directions
Mailing address
2214 N University St
Peoria, IL 61604
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2014-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.