MEDICARE: LOUIS ROHR 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
1	207R00000X	Internal Medicine Physician	036102555	IL

General Provider Information

NPI Number	:	1568490381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS ROHR M.D.

Provider Business Mailing Address
First Line	:	4800 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3223
Country	:	US
Telephone Number	:	773-286-9600
Fax Number	:	773-826-9601

Provider Business Practice Location Address
First Line	:	4800 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-3223
Country	:	US
Telephone Number	:	773-826-9600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/29/2021

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