Provider Demographics
NPI:1982612495
Name:ROSSER, STEVEN A (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:ROSSER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S ROSELLE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-3122
Mailing Address - Country:US
Mailing Address - Phone:847-584-2225
Mailing Address - Fax:847-584-2246
Practice Address - Street 1:601 S ROSELLE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3122
Practice Address - Country:US
Practice Address - Phone:847-584-2225
Practice Address - Fax:847-584-2246
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-005825111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT87658Medicare UPIN
IL557100Medicare ID - Type Unspecified