Individual
A JERALD ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2270 ARBELEDA LN, NORTHBROOK, IL 60062
(847) 254-2453
Mailing address
2270 ARBELEDA LN, SUITE 408, NORTHBROOK, IL 60062-7605
(847) 866-6600
(847) 475-6835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-039336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360393361
—
IL
Enumeration date
03/21/2006
Last updated
03/01/2016
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