Zachrey Rosengarten, MD | |
2602 Mulberry Ln, Northbrook, IL 60062-5937 | |
(847) 878-9109 | |
Not Available |
Full Name | Zachrey Rosengarten |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2602 Mulberry Ln, Northbrook, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114378007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036-159035 (Illinois) | Primary |
207R00000X | Internal Medicine | 125.068378 (Illinois) | Secondary |
Entity Name | Diaspora Radiology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730652017 PECOS PAC ID: 0547501942 Enrollment ID: O20190412000511 |
Mailing Address | Practice Location Address |
---|---|
Zachrey Rosengarten, MD 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Zachrey Rosengarten, MD 2602 Mulberry Ln, Northbrook, IL 60062-5937 Ph: (847) 878-9109 |
Howard I. Lopata, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 450 Anjou Dr, Northbrook, IL 60062 Phone: 847-498-1594 Fax: 847-498-1509 | |
Carole Redding Flamm, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2845 Farmington Rd, Northbrook, IL 60062 Phone: 847-480-1845 | |
Richard A. Mintzer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1182 Northbrook Ct, Northbrook, IL 60062 Phone: 847-509-1818 |