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NPI Code Detail

MEDICARE: ROBERT A ROSENBAUM M.D.

MEDICARE:   ROBERT A ROSENBAUM  M.D.
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
1207R00000XInternal Medicine Physician36049095IL

General Provider Information

NPI Number : 1801900949
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT A ROSENBAUM M.D.
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 1745
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2974
Country : US
Telephone Number : 312-926-3600
Fax Number : 855-205-7749
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 1745
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2974
Country : US
Telephone Number : 312-926-3600
Fax Number : 855-205-7749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 02/19/2019

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Directions to “ ROBERT A ROSENBAUM M.D.” Practice Location

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