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NPI Code Detail

MEDICARE: PHILIP J ROSINSKY SA

MEDICARE:   PHILIP J ROSINSKY  SA
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
1246ZC0007XSurgical AssistantPENDINGIL

General Provider Information

NPI Number : 1376048074
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP J ROSINSKY SA
Provider Business Mailing Address
First Line : 550 W OGDEN AVE
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3186
Country : US
Telephone Number : 630-920-2323
Fax Number : 630-323-5625
Provider Business Practice Location Address
First Line : 1010 EXECUTIVE DR STE 250
Second Line :
City : WESTMONT
State : IL
Zip : 60559-6137
Country : US
Telephone Number : 630-920-2323
Fax Number : 630-323-5625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 03/26/2018

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