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NPI Code Detail

MEDICARE: ANNE ROSENTHAL

MEDICARE: ANNE ROSENTHAL
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
1363L00000XNurse Practitioner209021364IL

General Provider Information

NPI Number : 1710551403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE ROSENTHAL
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-982-6715
Fax Number :
Provider Business Practice Location Address
First Line : 800 W CENTRAL RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2349
Country : US
Telephone Number : 847-618-4180
Fax Number : 847-618-2709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 01/14/2026

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Directions to “ ANNE ROSENTHAL ” Practice Location

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