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General NPI Number Information
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NPI Number | 1750548897
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Entity Type | Individual
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Provider Name | BRIAN ELLIOTT ROSETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2461 N CLYBOURN AVE
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City | CHICAGO
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State | IL
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Zip | 60614-1942
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Country | US
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Telephone | 773-957-3077
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Fax |
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Provider Business Mailing Address
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Address Line | 777 N GREEN ST # 4
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City | CHICAGO
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State | IL
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Zip | 60642-5470
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Country | US
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Telephone | 312-535-2200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 036.144241
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License Number State | IL
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