Organization
TAMAR, LTD.
Active
Other names
Life Womens Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ALBERT ROSTEIN M.D. (PRESIDENT)
(708) 484-0500
Entity
Organization
Contact information
Practice address
6425 CERMAK RD, SUITE 202, BERWYN, IL 60402-2338
(708) 484-0500
(708) 484-4259
Mailing address
6425 CERMAK RD, SUITE 202, BERWYN, IL 60402-2338
(708) 484-0500
(708) 484-4259
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622621
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/14/2006
Last updated
08/22/2020
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