Whalio Doctors

NPI 1023642949

Katie Michelle Rose, PAC

Practitioner Physician Assistant Rockford, IL

Practice location

Address
1639 N Alpine Rd STE 360, Rockford, IL 61107-1440
Phone
(815) 229-9333

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085.008991 (IL)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1023642949
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Feb 2020
Record last updated
20 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.