| David I. Rosen, M.d. Ltd | |
|
1535 Lake Cook Rd 401 Northbrook IL 60062-1447 | |
| (847) 590-1500 | |
| Not Available |
| Full Name | David I. Rosen, M.d. Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1535 Lake Cook Rd, Northbrook, Illinois |
| Authorized Official Name and Position | David I Rosen (DOCTOR) |
| Authorized Official Contact | 8475901500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David I. Rosen, M.d. Ltd 1655 N Arlington Heights Rd 203e Arlington Heights IL 60004-3982 Ph: (847) 590-1500 | David I. Rosen, M.d. Ltd 1535 Lake Cook Rd 401 Northbrook IL 60062-1447 Ph: (847) 590-1500 |
| NPI Number | 1558629212 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 08/06/2012 |
| Medicare PECOS PAC ID | 8729234851 |
|---|---|
| Medicare Enrollment ID | O20120806000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558629212 | NPI | - | NPPES |
| 036107376 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036107376 (Illinois) | Primary |
| Provider Name | David I Rosen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447272885 PECOS PAC ID: 0446255509 Enrollment ID: I20060922000376 |
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