IndividualActive
Charles Rosen, M.D.
NPI 1417057290 · Neurological Surgery Physician · Bloomington, IL
Provider details
- NPI number
- 1417057290
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036147903 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1015 S Mercer Ave Ste E1
Bloomington, IL 61701-7107
Phone: (309) 662-7500
Fax: (309) 662-7333
Approximate (ZIP-level) locationGet directions
Mailing address
1015 S Mercer Ave Ste E1
Bloomington, IL 61701-7107
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2019-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.