Healthcare Provider Details
I. General information
NPI: 1689668022
Provider Name (Legal Business Name): ROSENBLOOM & SAXON SURGICAL SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1555 N BARRINGTON ROAD SUITE 2550
HOFFMAN ESTATES IL
60194
US
IV. Provider business mailing address
PO BOX 957795
HOFFMAN ESTATES IL
60195-7795
US
V. Phone/Fax
- Phone: 847-884-7700
- Fax: 847-884-6569
- Phone: 847-884-7700
- Fax: 847-884-6569
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
ROBERT
D
ROSENBLOOM
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 847-884-7700