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General NPI Number Information
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NPI Number | 1558629212
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Entity Type | Organization
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Legal Business Name | DAVID I ROSEN MD LTD
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 950 SKOKIE BLVD STE 202
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City | NORTHBROOK
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State | IL
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Zip | 60062-4017
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Country | US
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Telephone | 847-238-2091
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Fax | 224-523-8081
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Provider Business Mailing Address
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Address Line | 950 SKOKIE BLVD STE 202
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City | NORTHBROOK
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State | IL
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Zip | 60062-4017
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Country | US
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Telephone | 847-238-2091
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Fax | 224-523-8081
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MARGARET CRAWFORD
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Credential |
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Telephone | 630-924-0156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036107376
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License Number State | IL
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