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NPI Code Detail

MEDICARE: DR. SUSAN FINK ROSENTHAL M.D.

MEDICARE:  DR. SUSAN FINK ROSENTHAL  M.D.
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
12084P0800XPsychiatry PhysicianIL

General Provider Information

NPI Number : 1164448890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN FINK ROSENTHAL M.D.
Provider Business Mailing Address
First Line : 1826 IVY LN
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-5860
Country : US
Telephone Number : 847-412-1838
Fax Number : 847-412-1846
Provider Business Practice Location Address
First Line : 9933 LAWLER AVE
Second Line : SUITE 314
City : SKOKIE
State : IL
Zip : 60077-3703
Country : US
Telephone Number : 773-520-9725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SUSAN FINK ROSENTHAL M.D.” Practice Location

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