Organization
SCOTT L ROSEN MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L ROSEN MD (PRESIDENT)
(847) 724-9400
Entity
Organization
Contact information
Practice address
2440 RAVINE WAY, STE 500, GLENVIEW, IL 60025
(847) 724-9400
(847) 724-9401
Mailing address
2440 RAVINE WAY, STE 500, GLENVIEW, IL 60025
(847) 724-9400
(847) 724-9401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36057178
IL
207W00000X
Ophthalmology Physician
36115629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1626938
BCBS
IL
Enumeration date
10/05/2006
Last updated
10/24/2007
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