MEDICARE: DR. MELVIN K ROSEMAN 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
1	207RN0300X	Nephrology Physician	036049258	IL

General Provider Information

NPI Number	:	1770756827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVIN K ROSEMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 806
Second Line	:
City	:	HIGHLAND PARK
State	:	IL
Zip	:	60035-0806
Country	:	US
Telephone Number	:	773-248-6700
Fax Number	:	847-432-1963

Provider Business Practice Location Address
First Line	:	2484 N ELSTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2002
Country	:	US
Telephone Number	:	773-278-4403
Fax Number	:	773-489-6986

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

Provider Enumeration Date	:	04/09/2008
Last Update Date	:	02/23/2024

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