Individual
JOSHUA ROSENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Mailing address
676 N SAINT CLAIR ST, STE 2210, CHICAGO, IL 60611-2922
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036110143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036110143
MEDICAID PTAN
—
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400156025
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/13/2006
Last updated
01/04/2024
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