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Gloria Rosenthal

NPI 1548636772 · on the registry since 2015

Practice

Address
411 S Lincoln Ave
Kankakee, IL 60901
Phone
(815) 939-7911

Registry record

Primary taxonomy
Driver
172A00000X
Also registered as
Driver
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois