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NPI Code Detail

MEDICARE: DR. LEE ROST MD

MEDICARE: DR. LEE ROST 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
12085R0202XDiagnostic Radiology PhysicianMT223150PA
22085N0700XNeuroradiology Physician036.178600IL
3207R00000XInternal Medicine PhysicianMT223150PA

General Provider Information

NPI Number : 1447828595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE ROST MD
Provider Business Mailing Address
First Line : 180 HARVESTER DR STE 110
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-4503
Country : US
Telephone Number : 773-702-1150
Fax Number :
Provider Business Practice Location Address
First Line : 559 W GERMANTOWN PIKE
Second Line :
City : EAST NORRITON
State : PA
Zip : 19403-4250
Country : US
Telephone Number : 484-622-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 05/27/2026

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