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General NPI Number Information
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NPI Number | 1699707703
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Entity Type | Organization
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Legal Business Name | MELVIN K ROSEMAN MD SC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2800 N SHERIDAN RD SUITE 510
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City | CHICAGO
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State | IL
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Zip | 60657
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Country | US
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Telephone | 773-248-6700
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Fax | 847-432-1963
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Provider Business Mailing Address
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Address Line | PO BOX 806
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-5040
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Country | US
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Telephone | 773-248-6700
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Fax | 847-432-1963
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELVIN K ROSEMAN
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Credential | MD
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Telephone | 773-248-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State | IL
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