| Doctor Name: | DR. MARVIN JOEL ROSSER |
| NPI Number: | 1366545410 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036-042751 |
| Business Practice Address: | 117 S Cook St #114 Barrington, IL - 600104311 |
| Business Phone Number: | 8472266017 |
| Business Fax Number: | |
| Mailing Address: | 117 S Cook St, #114 BARRINGTON |
| State: | IL |
| Postal Code: | 600104311 |
| Phone Number: | 8472266017 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036-042751 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |