Healthcare Provider Details

I. General information

NPI: 1558294058
Provider Name (Legal Business Name): ROSE WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 N CENTER ST
NAPERVILLE IL
60563-3142
US

IV. Provider business mailing address

847 N CENTER ST
NAPERVILLE IL
60563-3142
US

V. Phone/Fax

Practice location:
  • Phone: 331-215-4054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: TASSANEE FULLONE
Title or Position: OWNER
Credential:
Phone: 630-815-4584