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ROSE OF SHARON MC LLC
NPI 1164041372
Nurse Practitioner - Family in Roselle, IL

Active since April 09, 2020
1085 FLAMINGO DR, ROSELLE, IL 60172(847) 877-8549 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Of Sharon Mc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE OF SHARON MC LLC (NPI 1164041372) is a healthcare organization registered as a family in Roselle, Illinois and active in the NPI registry since April 2020. The organization lists Reena Blesson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164041372
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameROSE OF SHARON MC LLC
Location Address1085 FLAMINGO DRRoselle, IL 60172-4731
Mailing Address1085 Flamingo DrRoselle, IL 60172-4731 · (847) 877-8549
Phone(847) 877-8549
Organization SubpartNo
Authorized OfficialReena BlessonOwner · (847) 877-8549
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1164041372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1085 FLAMINGO DR, Roselle, IL 60172
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Of Sharon Mc LLC's NPI number?

The NPI number for Rose Of Sharon Mc LLC is 1164041372. It was assigned to this organization in the NPPES registry on April 9, 2020.

Where is Rose Of Sharon Mc LLC located?

Rose Of Sharon Mc LLC is located at 1085 Flamingo Dr, Roselle, IL 60172. The listed phone number is (847) 877-8549.

What is Rose Of Sharon Mc LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rose Of Sharon Mc LLC was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.