Organization
BRUCE A. ROSENZWEIG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A ROSENZWEIG M.D. (PHYSICIAN)
(312) 942-6440
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, STE 358, CHICAGO, IL 60612-3841
(312) 942-6440
Mailing address
1725 W HARRISON ST, STE 358, CHICAGO, IL 60612-3841
(312) 942-6440
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036071719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071719
—
IL
01
—
1634815
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/26/2007
Last updated
03/02/2011
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