# ROSENTHAL CLINIC SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942306758
- **Authorized official:** MRS. BONITA M PEREZ (INSURANCE MANAGER)
- **Authorized official phone:** (312) 939-4121

## Contact information

- **Practice address:** 122 S MICHIGAN AVE, SUITE 1770, CHICAGO, IL 60603
- **Practice address phone:** (312) 939-4121
- **Practice address fax:** (312) 939-8011
- **Mailing address:** 122 S MICHIGAN AVE, SUITE 1770, CHICAGO, IL 60603
- **Mailing address phone:** (312) 939-4121
- **Mailing address fax:** (312) 939-8011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 05/13/2008