Dr Mark Rosenbloom, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Northbrook, Illinois. Dr Mark Rosenbloom is licensed to practice in Illinois (license number 036085053) and his current practice location is 60 Revere Dr, Suite 820, Northbrook, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 905-9505.
NPI number for Dr Mark Rosenbloom is 1003122730 and his current mailing address is 60 Revere Dr, Suite 820, Northbrook, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003122730.
Physician's Profile
| Full Name | Dr Mark Rosenbloom |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 60 Revere Dr, Northbrook, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003122730
- Provider Enumeration Date: 08/18/2010
- Last Update Date: 09/27/2013
Medical Identifiers
Medical identifiers for Dr Mark Rosenbloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003122730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 036085053 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Rosenbloom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Rosenbloom, MD
60 Revere Dr, Suite 820,
Northbrook, IL 60062-1563
Ph: (847) 905-9505 | Dr Mark Rosenbloom, MD
60 Revere Dr, Suite 820,
Northbrook, IL 60062-1563
Ph: (847) 905-9505 |
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