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NPI Code Detail

MEDICARE: DR. NEIL ROSENBERG MD

MEDICARE:  DR. NEIL  ROSENBERG  MD
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician36060137IL
2207RP1001XPulmonary Disease Physician36060137IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10336024717OTHERILCONTROLLED SUBSTANCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265436695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL ROSENBERG MD
Provider Business Mailing Address
First Line : 5600 W ADDISON ST STE 503
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4466
Country : US
Telephone Number : 773-283-8664
Fax Number :
Provider Business Practice Location Address
First Line : 5600 W ADDISON ST STE 503
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4466
Country : US
Telephone Number : 773-283-8664
Fax Number : 773-283-8688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 01/01/2022

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Directions to “ DR. NEIL ROSENBERG MD” Practice Location

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