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NPI Code Detail

MEDICARE: DR. NEELAM TRIVEDI ROZANSKI DO

MEDICARE: DR. NEELAM TRIVEDI ROZANSKI DO
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
1207L00000XAnesthesiology Physician45573WI
2207L00000XAnesthesiology Physician036107747IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1006806261IOTHERHUMANA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093766750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEELAM TRIVEDI ROZANSKI DO
Provider Business Mailing Address
First Line : PO BOX 443
Second Line :
City : BEDFORD PARK
State : IL
Zip : 60499-0443
Country : US
Telephone Number : 773-355-5300
Fax Number : 773-714-1229
Provider Business Practice Location Address
First Line : 8420 W BRYN MAWR AVE STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3436
Country : US
Telephone Number : 773-355-5300
Fax Number : 773-714-1229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 11/01/2022

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