MEDICARE: ROSENBLOOM & SAXON SURGICAL SPECIALISTS

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	208600000X	Surgery Physician		IL

General Provider Information

NPI Number	:	1689668022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSENBLOOM & SAXON SURGICAL SPECIALISTS

Provider Business Mailing Address
First Line	:	PO BOX 957795
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60195-7795
Country	:	US
Telephone Number	:	847-884-7700
Fax Number	:	847-884-6569

Provider Business Practice Location Address
First Line	:	1555 N BARRINGTON ROAD
Second Line	:	SUITE 2550
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60194
Country	:	US
Telephone Number	:	847-884-7700
Fax Number	:	847-884-6569

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	ROBERT D ROSENBLOOM
Credential	:	M.D.
Telephone Number	:	847-884-7700

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	07/21/2022

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