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NPI Code Detail

MEDICARE: DR. ALLEN JEROME ROSENBAUM MD

MEDICARE: DR. ALLEN JEROME ROSENBAUM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician036060818IL

General Provider Information

NPI Number : 1508862368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLEN JEROME ROSENBAUM MD
Provider Business Mailing Address
First Line : 1400 S MICHIGAN AVE APT 1203
Second Line :
City : CHICAGO
State : IL
Zip : 60605-3720
Country : US
Telephone Number : 312-767-3244
Fax Number :
Provider Business Practice Location Address
First Line : 900 RAND RD STE 120
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2359
Country : US
Telephone Number : 312-767-3244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 11/27/2023

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Directions to “ DR. ALLEN JEROME ROSENBAUM MD” Practice Location

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