Individual
JONATHAN REXROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S WOOD ST # MC675, CHICAGO, IL 60612-4325
(866) 600-2273
Mailing address
820 S WOOD ST # MC675, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.083648
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125.083648
IL
Other
Enumeration date
03/21/2024
Last updated
06/12/2025
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