Individual
SCOTT LEWIS ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2440 RAVINE WAY, SUITE 500, GLENVIEW, IL 60025
(847) 724-9400
(847) 724-9401
Mailing address
2440 RAVINE WAY, SUITE 500, GLENVIEW, IL 60025
(847) 724-9400
(847) 724-9401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36057178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1626938
BCBS
IL
01
—
364396691
COMMERICAL INS
IL
Enumeration date
01/20/2006
Last updated
10/06/2020
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